AVALON VALLEY CARE CENTER LLC


Address: 2472 S 300 E, Salt Lake City, UT 84115-2895
Phone: 8014662211

AVALON VALLEY CARE CENTER LLC (NPI# 1700870896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700870896
Entity Type Organization
Organization Name AVALON VALLEY CARE CENTER LLC
Practice Address 2472 S 300 E
Salt Lake City
UT 84115-2895
Mailing Address 206 N 2100 W
Salt Lake City
UT 84116-4740
Practice Telephone 8014662211
Practice Fax Number 8014861154
Mailing Telephone 8013250153
Mailing Fax Number 8015969001
Enumeration Date 2005-09-06
Last Update Date 2013-08-29
Authorized Official Name FAYE LINCOLN (VP, POLICY/GOVERNMENT RELATIONS)
Authorized Official Telephone 8013250153
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 314000000X Skilled Nursing Facility 2005-NCF-55 UT Nursing & Custodial Care Facilities

Office Location

Street Address 2472 S 300 E
City SALT LAKE CITY
State UT
Zip Code 84115-2895

Providers in the same location

NPI Name Taxonomy Address Enumeration
1780157529 Gunnison Valley Hospital Skilled Nursing Facility 2472 S 300 E, Salt Lake City, UT 84115-2895 2019-01-04
1275035206 Gina Lee Snow Speech-Language Pathologist 2472 S 300 E, Salt Lake City, UT 84115-2895 2018-03-06
1154823037 Robyn Michelle Moore Physical Therapy Assistant 2472 S 300 E, Salt Lake City, UT 84115-2895 2018-03-06
1376044685 Skyler Gaillard Physical Therapy Assistant 2472 S 300 E, Salt Lake City, UT 84115-2895 2018-02-22
1952802266 Shawnee Burnett Occupational Therapist 2472 S 300 E, Salt Lake City, UT 84115-2895 2018-02-22
1487155891 Christopher Bricker Occupational Therapy Assistant 2472 S 300 E, Salt Lake City, UT 84115-2895 2018-02-22
1508367814 Annette Bergesen Occupational Therapy Assistant 2472 S 300 E, Salt Lake City, UT 84115-2895 2018-02-22
1417361007 Rachel Yarman Physical Therapist 2472 S 300 E, Salt Lake City, UT 84115-2895 2014-06-11
1205892080 Valley Mental Health Incorporated Social Worker 2472 S 300 E, Salt Lake City, UT 84115-2895 2006-04-21
1912983446 Jamal Ahmed Barakat Counselor 2472 S 300 E, Salt Lake City, UT 84115-2895 2005-12-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396344198 Shannon Ballinger Clinic/Center 1470 400 W, Salt Lake City, UT 84115 2020-10-22
1992346704 Anicka Inc Clinic/Center 3195 South Main St, Ste 260, South Salt Lake, UT 84115 2019-10-02
1083177505 Vitor Gabriel Giuliani Alcantara Carioca Specialist/Technologist 1850 South Campus Drive, Salt Lake City, UT 84115 2019-04-11
1427528371 Samuel James Leonhart Behavior Technician 354 East Coatsville Drive, Salt Lake City, UT 84115 2018-12-04
1093228645 Eco Pharmacy LLC Pharmacy 3702 S State Street Suite 115, South Salt Lake City, UT 84115 2017-11-06
1568973055 Eco Apothecary LLC Pharmacy 3701 S State Street Suite 114, South Salt Lake City, UT 84115 2017-10-24
1548780455 Kelly Lund Case Manager/Care Coordinator 447 W. Bearcat Dr., Salt Lake City, UT 84115 2017-06-21
1104271238 The Church of Philadelphia Inc. Community/Behavioral Health 2358 South Main Street, Salt Lake City, UT 84115 2016-04-26
1710368626 Jennifer Swanhild Edwards Counselor 140 W 2100 S Ste 244, Salt Lake City, UT 84115 2015-06-16
1508247065 John Mcguire Health Educator 1370 S. West Temple, Salt Lake City, UT 84115 2015-06-10
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Taxonomy Information

Taxonomy Code 314000000X
Grouping Nursing & Custodial Care Facilities
Classification Skilled Nursing Facility

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962955237 Beaver Valley Hospital Skilled Nursing Facility 4782 S Holladay Blvd, Salt Lake City, UT 84117-5444 2016-08-03
1902130222 Beaver Valley Hospital Skilled Nursing Facility 2200 East 3300 South, Salt Lake City, UT 84109 2009-09-21
1598990699 Beaver Valley Hospital Skilled Nursing Facility 4600 S. Highland Drive, Salt Lake City, UT 84117 2009-05-19
1629129689 Subtenant 1430 East 4500 South LLC Skilled Nursing Facility 1430 East 4500 South, Salt Lake City, UT 84117-4208 2007-01-16
1760594048 Utah State Veterans Nursing Home Skilled Nursing Facility 700 Foothill Blvd, Salt Lake City, UT 84113-1104 2006-08-31
1225061229 Salt Lake Operations, LLC Skilled Nursing Facility 1201 E 4500 S, Salt Lake City, UT 84117-4124 2006-07-10
1679526156 Sunrise Senior Living Services, Inc Skilled Nursing Facility 76 S 500 E, Salt Lake City, UT 84102-1044 2006-05-18
1326098039 Eagles Soar Inc. Skilled Nursing Facility 433 E 2700 S, Salt Lake City, UT 84115-3325 2006-05-11
1548218050 Evergreen At Holladay, L.L.C. Skilled Nursing Facility 4600 South Highland Dr, Salt Lake City, UT 84117-5108 2006-05-05
1457338956 Mission Health Services Skilled Nursing Facility 1216 E 1300 S, Salt Lake City, UT 84105-1949 2005-12-27
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Competitor

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City SALT LAKE CITY
Zip Code 84115

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Dataset Information

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.

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