PROMISE HOSPITAL (NPI# 1487855714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487855714 |
| Entity Type | Organization |
| Organization Name | PROMISE HOSPITAL |
| Practice Address |
9811 Quintail Ln South Jordan UT 84095-3241 |
| Mailing Address |
9811 S. Quintail Lane South Jordan UT 84095 |
| Practice Telephone | 8014400214 |
| Mailing Telephone | 8014400214 |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. RICHARD LUNA (CEO) |
| Authorized Official Telephone | 8019643551 |
| Authorized Official Credential | CEO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282E00000X | Long Term Care Hospital | 52772562401 | UT | Hospitals |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PROMISE HOSPITAL OF FLORIDA AT THE VILLAGES, INC. | 5050 County Rd 472, Oxford, FL 34484-3750 |
| System for Award Management (SAM) Entities | PROMISE HOSPITAL OF FORT MYERS | 3050 Champion Ring Rd, Fort Myers, FL 33905-5599 |
| System for Award Management (SAM) Entities | PROMISE HOSPITAL OF MIAMI | 14001 Nw 82 Ave, Miami Lakes, FL 33016-1561 |
| Street Address |
9811 QUINTAIL LN |
| City | SOUTH JORDAN |
| State | UT |
| Zip Code | 84095-3241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033745393 | Beverly Laraine Williams | Social Worker | 11260 S River Heights Drive, South Jordan, UT 84095 | 2020-03-19 |
| 1265902902 | Sarah Richele Kelley | Specialist/Technologist | 10236 Alder Grovey Way, South Jordan, UT 84095 | 2018-11-26 |
| 1326528837 | Kristi Couse | Massage Therapist | 10679 S 2200 W Apt 2, South Jordan, UT 84095 | 2018-08-15 |
| 1821516063 | River Crossing Dental Professional Corporation | Clinic/Center | 12427 South 4000 West, Suite #200, Riverton, UT 84095 | 2017-09-08 |
| 1245755719 | Staci Stout | Dental Hygienist | 3113 W Swiss Pass Cir, South Jordan, UT 84095 | 2017-08-07 |
| 1437698750 | Ryan Sears | Dentist | 10894 So. River Front Parkway, South Jordan, UT 84095 | 2017-02-20 |
| 1366989931 | Ultimate Sports Regenerative Medicine | Chiropractor | 1098 W. South Jordan Pkwy, Suite 101, South Jordan, UT 84095 | 2017-01-20 |
| 1306393889 | Tal Quirl | Optometrist | 3571 W. 10400 S., South Jordan, UT 84095 | 2016-09-01 |
| 1023562667 | Sevon Taroian | Social Worker | 11260 River Heights Drive, South Jordan, UT 84095 | 2016-08-11 |
| 1952762932 | Megan Buckley | Developmental Therapist | 881 Baxter Drive, Ste 100, South Jordan, UT 84095 | 2016-03-17 |
| Find all providers in zip 84095 | ||||
| Taxonomy Code | 282E00000X |
| Grouping | Hospitals |
| Classification | Long Term Care Hospital |
| Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions. |
| Notes: Source: American Hospital Association [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609838911 | Promise Hospital of Salt Lake Inc | Long Term Care Hospital | 8 Th Ave C St, Salt Lake City, UT 84143-0001 | 2006-04-03 |
| 1154985695 | Kpc Promise Hospital of Salt Lake LLC | Long Term Care Hospital | 4252 S Birkhill Blvd, Murray, UT 84107-5715 | 2019-04-30 |
| 1689913451 | Landmark Hospital of Salt Lake City, LLC | Long Term Care Hospital | 4252 S Birkhill Blvd, Murray, UT 84107-5715 | 2013-02-13 |
| 1487851515 | Promise Hospital Pharmacy | Long Term Care Hospital | 1050 E South Temple, Salt Lake City, UT 84102-1507 | 2007-07-02 |
| 1760412530 | Utah Valley Specialty Hospital Inc | Long Term Care Hospital | 306 River Bend Ln, Provo, UT 84604 | 2006-07-04 |
| City | SOUTH JORDAN |
| Zip Code | 84095 |
Please comment or provide details below to improve the information on PROMISE HOSPITAL.
| 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.