Renaissance Rehabilitation Of South Jordan in South Jordan - Skilled Nursing Facility
Renaissance Rehabilitation Of South Jordan - NPI 1982812459
Renaissance Rehabilitation Of South Jordan is a Skilled Nursing Facility in South Jordan, Utah. Renaissance Rehabilitation Of South Jordan practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Renaissance Rehabilitation Of South Jordan is 1982812459. The last update date is 2007-07-26.
Renaissance Rehabilitation Of South Jordan's current location address is 1371 West South Jordan Parkway, South Jordan, Utah. You can contact this provider via phone number 8019209566. The mailing address for Renaissance Rehabilitation Of South Jordan is 1371 West South Jordan Parkway, South Jordan, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Renaissance Rehabilitation Of South Jordan |
|---|---|
| Address | 1371 West South Jordan Parkway, South Jordan, Utah |
| Phone Number | 8019209566 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Crookston Shad |
| Telephone Number | 8019209566 |
NPI Number Detail
| NPI Number | 1982812459 |
|---|---|
| Provider Enumeration Date | 2007-05-18 |
| Last Updated Date | 2007-07-26 |
Provider Mailing Address Detail
| Address | 1371 West South Jordan Parkway |
|---|---|
| City | South Jordan |
| State | Utah (UT) |
| Post Code | 84095 |
| Phone Number | 8019209566 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
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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 serv |
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What is the Renaissance Rehabilitation Of South Jordan's 1982812459?
The Renaissance Rehabilitation Of South Jordan's NPI (National Provider Identifier) Number is 1982812459. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Renaissance Rehabilitation Of South Jordan's physical address?
The Renaissance Rehabilitation Of South Jordan is physically located at 1371 West South Jordan Parkway, in the city of South Jordan, UT, with the postal code 84095.
What is the Renaissance Rehabilitation Of South Jordan's specialty and taxonomy code?
The Renaissance Rehabilitation Of South Jordan's specialty is Skilled Nursing Facility, and the corresponding taxonomy code is 314000000X.
On what date did the Renaissance Rehabilitation Of South Jordan receive the assignment of its 1982812459 from the Centers for Medicare & Medicaid Services?
The Renaissance Rehabilitation Of South Jordan was issued its 1982812459 by the Centers for Medicare & Medicaid Services on 2007-05-18.
As of what date were the details related to Renaissance Rehabilitation Of South Jordan most recently updated or revised?
The information pertaining to Renaissance Rehabilitation Of South Jordan, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-26.
NPI Number: 1932102142
Address: St. Jude Children's Research Hospital, Memphis, TN