MAYFIELD COMMUNITY CARE CENTER, INC. (NPI# 1003846478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003846478 |
| Entity Type | Organization |
| Organization Name | MAYFIELD COMMUNITY CARE CENTER, INC. |
| Other Organization Name | COMMUNITY LIVING CENTER |
| Practice Address |
10 W 400 S Centerfield UT 84622 |
| Mailing Address |
Po Box 99 Mayfield UT 84643-0099 |
| Practice Telephone | 4355282800 |
| Practice Fax Number | 4355282828 |
| Mailing Telephone | 4355282800 |
| Mailing Fax Number | 4355282828 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2011-07-01 |
| Authorized Official Name | CINDY N PETERSON (ADMINISTRATOR/OWNER) |
| Authorized Official Telephone | 4355282800 |
| Authorized Official Credential | HFA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 2004-NCF-67 | UT | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Community Living Center | Doing Business As Name - Organization |
| Street Address |
10 W 400 S |
| City | CENTERFIELD |
| State | UT |
| Zip Code | 84622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093833683 | Freewill Foundation Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 344 N 100 W, Centerfield, UT 84622 | 2007-03-26 |
| 1861547408 | Valley Medical Inc | Durable Medical Equipment & Medical Supplies | 325 S 300 W, Centerfield, UT 84622 | 2007-01-24 |
| 1053731943 | Gunnison Valley Hospital | Skilled Nursing Facility | 10 West 400 South, Centerfield, UT 84622 | 2014-04-18 |
| 1225454028 | Mission Health Services Inc | Skilled Nursing Facility | 10 West 400 South, Centerfield, UT 84622-0260 | 2014-03-17 |
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467999524 | Garfield County | Nursing Facility/Intermediate Care Facility | 200 N 450 E, Panguitch, UT 84759 | 2017-01-27 |
| 1598128977 | Michael Maez | Nursing Facility/Intermediate Care Facility | 1174 24th St, Apt 4, Ogden, UT 84401-2763 | 2016-04-01 |
| 1932536257 | Ellas LLC | Nursing Facility/Intermediate Care Facility | 3520 S Highland Dr, Salt Lake City, UT 84106-3211 | 2013-10-01 |
| 1700141769 | Wepa Enterprises Inc. | Nursing Facility/Intermediate Care Facility | 155 N 300 W, Washington, UT 84780-1520 | 2012-07-05 |
| 1881991701 | Canyonlands Health Care Special Service District | Nursing Facility/Intermediate Care Facility | 390 W Williams Way, Moab, UT 84532 | 2011-02-14 |
| 1063669067 | Hazen Nursing Home, Inc | Nursing Facility/Intermediate Care Facility | 2520 S Redwood Rd, West Valley City, UT 84119-2215 | 2008-08-20 |
| 1851348965 | Hobble Creek Nursing & Rehab | Nursing Facility/Intermediate Care Facility | 469 N Main St, Springville, UT 84663-1036 | 2006-05-27 |
| 1871582759 | N.m.p. Inc | Nursing Facility/Intermediate Care Facility | 3520 Highland Dr, Salt Lake City, UT 84106-3211 | 2005-10-13 |
| 1346235645 | Tophams Tiny Tots Care Center | Nursing Facility/Intermediate Care Facility | 247 N 100 E, Orem, UT 84057-4731 | 2005-09-13 |
| 1225030810 | Friendship Villa Care Center Inc | Nursing Facility/Intermediate Care Facility | 3094 S State St, Salt Lake City, UT 84115-3834 | 2005-08-12 |
| Find all providers with the same taxonomy | ||||
| City | CENTERFIELD |
| Zip Code | 84622 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.