CORAL DESERT REHABILITATION (NPI# 1437118270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437118270 |
| Entity Type | Organization |
| Organization Name | CORAL DESERT REHABILITATION |
| Practice Address |
1490 E Foremaster Dr Building B St George UT 84790-4488 |
| Practice Telephone | 4356745195 |
| Practice Fax Number | 4357739580 |
| Mailing Telephone | 4356745195 |
| Mailing Fax Number | 4357739580 |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. BRADY BRUCE FLYGARE (BUSINESS MANAGER) |
| Authorized Official Telephone | 4356745195 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | UT | Nursing & Custodial Care Facilities |
| Street Address |
1490 E FOREMASTER DR BUILDING B |
| City | ST GEORGE |
| State | UT |
| Zip Code | 84790-4488 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184623092 | Jeffrey Lee Stewart | Podiatrist | 1490 E Foremaster Dr, Suite 250, St George, UT 84790-4488 | 2005-07-21 |
| 1396256293 | Craniom | Specialist/Technologist, Other | 1490 E Foremaster Dr, St George, UT 84790-4488 | 2017-10-18 |
| 1790221687 | Wendy Utley | Nurse Practitioner | 1490 E Foremaster Dr, Suite 350, St George, UT 84790-4488 | 2017-01-16 |
| 1033662705 | Brittany Garcia | Audiologist | 1490 E Foremaster Dr, Suite 360, St George, UT 84790-4488 | 2016-07-29 |
| 1609252691 | Coral Desert Foot & Ankle PC | Durable Medical Equipment & Medical Supplies | 1490 E Foremaster Dr, Suite 250, St George, UT 84790-4488 | 2015-08-03 |
| 1629480769 | Jacob Burrows | Audiologist | 1490 E Foremaster Dr, Suite 360, St George, UT 84790-4488 | 2014-05-23 |
| 1740605963 | Ivo Kekoa Hanza | Nurse Practitioner | 1490 E Foremaster Dr, St George, UT 84790-4488 | 2014-02-25 |
| 1578985438 | Emere Utah LLC | Orthopaedic Surgery | 1490 E Foremaster Dr, Suite 260, St George, UT 84790-4488 | 2014-01-13 |
| 1760752943 | Central Utah Clinic, P.C. | Orthopaedic Surgery | 1490 E Foremaster Dr, Suite 150, St George, UT 84790-4488 | 2012-01-05 |
| 1568754364 | Nathan W Aston | Physician Assistant | 1490 E Foremaster Dr, #150, St George, UT 84790-4488 | 2011-05-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342713 | Katrina Poulsen | Student in an Organized Health Care Education/Training Program | 617 East Rriverside Dr, Ste 301, St. George, UT 84790 | 2020-10-08 |
| 1124643226 | Desert View Eyecare | Optometrist | 15 South River Road St. 150, St. George, UT 84790 | 2020-06-15 |
| 1366066417 | Benjamin Todd Lloyd | Dentist | 1683 E. Wolf Hole Dr, St. George, UT 84790 | 2020-06-04 |
| 1801434584 | Jennifer M Putnam | Marriage & Family Therapist | 321 North Mall Drive, Vw103, St. George, UT 84790 | 2019-12-12 |
| 1326683012 | Red Mountain Counseling and Education | Counselor | 321 No Mall Dr, Vw 103, St. George, UT 84790 | 2019-11-17 |
| 1295376002 | Karynne Kimberly Simpson | Behavior Technician | 280 N 1680 E U1, St. George, UT 84790 | 2019-10-02 |
| 1962053017 | Mikala Larsen | Nurse Practitioner | 1380 S Medical Center Dr., Saint George, UT 84790 | 2019-09-20 |
| 1326690678 | Joe Ballent | Student in an Organized Health Care Education/Training Program | 1526 S Medical Center Dr Ste 224a, St George, UT 84790 | 2019-07-16 |
| 1558923854 | David Pace | Optometrist | 749 South River Rd, St. George, UT 84790 | 2019-07-08 |
| 1639734924 | Mariah Ann Mertlich | Behavioral Analyst | 280 N 1680 E, U1, St. George, UT 84790 | 2019-05-02 |
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| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841729225 | Ahc of St George LLC | Skilled Nursing Facility | 1934 E Riverside Dr, St George, UT 84790-8034 | 2017-06-08 |
| 1982027587 | Seasons Healthcare & Rehabilitation | Skilled Nursing Facility | 242 N 200 W, St George, UT 84770-2702 | 2014-02-03 |
| 1154389203 | St George Nursing Home LLC | Skilled Nursing Facility | 178 S 1200 E, St George, UT 84790-5508 | 2006-05-01 |
| 1215927660 | Porter's Nursing Home Inc. | Skilled Nursing Facility | 126 W 200 N, St George, UT 84770-2702 | 2005-10-26 |
| 1013916329 | Red Cliffs Regional, Inc. | Skilled Nursing Facility | 1745 E 280 N, St George, UT 84790-2400 | 2005-07-19 |
| 1174017396 | Canyonlands Health Care Special Service District | Skilled Nursing Facility | 242 N 200 W, St George, UT 84770-2710 | 2018-06-20 |
| 1013452481 | Beaver Valley Hospital | Skilled Nursing Facility | 1032 E 100 S, St George, UT 84770-3005 | 2016-12-21 |
| 1710371265 | Sand Hollow Healthcare, Inc. | Skilled Nursing Facility | 1032 E 100 S, St George, UT 84770-3005 | 2015-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932672771 | Gunnison Valley Hospital | Skilled Nursing Facility | 163 E 1000 N, Richfield, UT 84701-1880 | 2019-01-04 |
| 1184118390 | Canyonlands Health Care Special Service District | Skilled Nursing Facility | 55 S Professional Way, Payson, UT 84651-5637 | 2018-06-20 |
| 1609306091 | Caremeridian, LLC | Skilled Nursing Facility | 13747 S Redwood Rd, Riverton, UT 84065-5710 | 2017-06-18 |
| 1669904439 | Gunnison Valley Hospital | Skilled Nursing Facility | 25 E Alpine Drive, Pleasant Grove, UT 84062-3511 | 2017-03-31 |
| 1366997819 | Maple Springs Management, LLC | Skilled Nursing Facility | 350 East 2200 North, North Logan, UT 84341-1761 | 2016-08-24 |
| 1962955237 | Beaver Valley Hospital | Skilled Nursing Facility | 4782 S Holladay Blvd, Salt Lake City, UT 84117-5444 | 2016-08-03 |
| 1649621707 | Beaver Valley Hospital | Skilled Nursing Facility | 12702 S Fort St, Draper, UT 84020-9755 | 2016-06-29 |
| 1962851287 | Pointe Meadow Healthcare, Inc. | Skilled Nursing Facility | 2750 North Digital Drive, Lehi, UT 84043-6651 | 2016-06-07 |
| 1578939427 | Beaver Valley Hospital | Skilled Nursing Facility | 151 E Center St, Spanish Fork, UT 84660-2161 | 2015-08-14 |
| 1861878266 | Beaver Valley Hospital | Skilled Nursing Facility | 5540 S 1050 E, South Ogden, UT 84405-7078 | 2015-08-07 |
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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.