LLHC ST. GEORGE LLC (NPI# 1801235502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801235502 |
Entity Type | Organization |
Organization Name | LLHC ST. GEORGE LLC |
Other Organization Name | LIFE LIFE HEALTH CENTER |
Practice Address |
120 W 1470 S St George UT 84770-6798 |
Practice Telephone | 4355749777 |
Mailing Telephone | 4355749777 |
Enumeration Date | 2013-06-17 |
Last Update Date | 2013-06-17 |
Authorized Official Name | MR. RONALD DAVID TILLER (MEDICAL DIRECTOR) |
Authorized Official Telephone | 4355749777 |
Authorized Official Credential | P.A. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
7300098-1205 | UT | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
UT | LICENSE | 7300098-1205 | 01 |
UT | NPI | 1881630572 | 01 |
UT | NPI | 1497716344 | 01 |
UT | LICENSE | 7865804-1206 | 01 |
Other Name | Type Code |
---|---|
Life Life Health Center | Doing Business As Name - Organization |
Street Address |
120 W 1470 S |
City | ST GEORGE |
State | UT |
Zip Code | 84770-6798 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427610104 | Justin Day | Nurse Practitioner | 120 W 1470 S, St George, UT 84770-7581 | 2019-07-02 |
1669822276 | Red Rock Labratory | Clinical Medical Laboratory | 120 W 1470 S, Suite 200, St George, UT 84770-6798 | 2016-06-14 |
1083006449 | A Team Management Group LLC | Substance Abuse Rehabilitation Facility | 120 W 1470 S, St George, UT 84770-6798 | 2015-02-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740808500 | Redstone Reference Laboratories Inc | Clinical Medical Laboratory | 556 N Dixie Drive, Suite 2, St George, UT 84770 | 2020-07-08 |
1033776315 | Ecko Ashmore | Marriage & Family Therapist | 1173 S. 250 W. Bld 1 Ste 208, St. George, UT 84770 | 2019-05-22 |
1740844679 | Amy Darragh | Behavior Technician | 249 E Tabernacle St, Ste 100, St George, UT 84770 | 2019-04-25 |
1124598198 | Loren Kyle Gulbranson | Internal Medicine | Dixie Regional Medical Center, 515 South, 300 East, Saint George, UT 84770 | 2018-12-03 |
1487150728 | Sound Sleep Medical LLC | Durable Medical Equipment & Medical Supplies | 640 East 700 South Building 2, St. George, UT 84770 | 2018-04-04 |
1588162911 | Desert Edge Medical | Family Medicine | 1664 S Dixie Dr Ste D201, St George, UT 84770 | 2018-01-31 |
1568981314 | Jeffrey Joseph Peterson | Behavior Technician | 162 N 400 E Ste A-105, St. George, UT 84770 | 2017-09-13 |
1992242549 | Zachary Carey | Specialist/Technologist | 1115 W Diamond Valley Dr, Saint George, UT 84770 | 2017-01-20 |
1669920427 | Charles Taylor Church | Technician, Other | 474 West 200 East, St. George, UT 84770 | 2016-09-21 |
1952755480 | Hollystic Hideaway | Voluntary or Charitable | 1418 W Sunset Blvd. # 2, Saint George, UT 84770 | 2016-04-21 |
Find all providers in zip 84770 |
Taxonomy Code | 261QA0600X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Adult Day Care |
Definition to come... |
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1477109585 | Aspen Senior Center, Lc | Clinic/Center | 3410 N Canyon Rd, Provo, UT 84604-4546 | 2019-08-14 |
1699247726 | Daybreak Senior Services, LLC | Clinic/Center | 1351 Valley Dr, Ogden, UT 84401-0847 | 2018-12-31 |
1144673013 | Neighborhood House | Clinic/Center | 423 South 1100 West, Salt Lake City, UT 84104 | 2016-07-15 |
1083852057 | Shanekor LLC | Clinic/Center | 1027 E 800 N, Orem, UT 84097-4313 | 2009-01-29 |
1962565077 | Brightwork | Clinic/Center | 1603 E Stratford Ave, Salt Lake City, UT 84106-3669 | 2006-12-19 |
1376604934 | Herritage Homes LLC | Clinic/Center | 45 N 100 W, Hurricane, UT 84737-1603 | 2006-12-13 |
1720634694 | Brightwork Living Inc | Clinic/Center | 1603 E Stratford Ave, Salt Lake City, UT 84106-3669 | 2019-08-15 |
1326323114 | Country Niche Adult Day Care LLC | Clinic/Center | 2179 W 1800 N, Suite D, Clinton, UT 84015-7900 | 2011-10-12 |
1659412518 | Sunshine Terrace Foundation, Inc. | Clinic/Center | 248 W 300 N, Logan, UT 84321-3810 | 2007-02-12 |
1477658854 | Uintah Adult Day Center | Clinic/Center | 510 S 500 W, Vernal, UT 84078-4301 | 2006-09-13 |
Find all providers with the same taxonomy |
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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.