CHRISTUS ST. JOSEPH VILLA NPI 1003010158

Religious Nonmedical Health Care Institution in Salt Lake City, UT

About CHRISTUS ST. JOSEPH VILLA

Christus St. Joseph Villa is a provider in Salt Lake City, UT. The NPI number assigned to this provider is 1003010158. The practitioner's primary taxonomy code is Religious Nonmedical Health Care Institution (282J00000X). The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Christus Marian Center.

NPI1003010158 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameCHRISTUS ST. JOSEPH VILLA
Provider Location Address451 BISHOP FEDERAL LN SALT LAKE CITY, UT 84115 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address451 BISHOP FEDERAL LN SALT LAKE CITY, UT 84115 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
NPI Entity TypeOrganization Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?N/A
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Other Organization NameCHRISTUS MARIAN CENTER Additional informationCallout TooltipProvider other organization name
The alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. Codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Other Name TypeDoing Business As (3)
Enumeration Date06-13-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date04-20-2008 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

CHRISTUS ST. JOSEPH VILLA
451 BISHOP FEDERAL LN
SALT LAKE CITY, UT
ZIP 84115
Phone: (801) 487-7557
Fax: (801) 487-1112
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Mailing Address

CHRISTUS ST. JOSEPH VILLA
451 BISHOP FEDERAL LN
SALT LAKE CITY, UT
ZIP 84115
Phone: (801) 487-7557
Fax: (801) 487-1112

Primary Taxonomy

Taxonomy Code282J00000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationReligious Nonmedical Health Care Institution
TypeHospitals
License StateUT
Taxonomy DescriptionFurnishes only nonmedical nursing items and services to patients who choose to rely solely upon a religious method of healing, and for whom the acceptance of medical services would be inconsistent with their religious beliefs. Furnishes nonmedical items and services exclusively through nonmedical nursing personnel who are experienced in caring for the physical needs of nonmedical patients. For example, caring for the physical needs such as assistance with activities of daily living; assistance in moving, positioning, and ambulation; nutritional needs; and comfort and support measures. Furnishes nonmedical items and services to inpatients on a 24-hour basis. Does not furnish, on the basis of religious beliefs, through its personnel or otherwise, medical items and services (including any medical screening, examination, diagnosis, prognosis, treatment, or the administration of drugs) for its patients.

Authorized Official

Authorized Official NameMS. SIMONE JASMIN HENNIG LCSW Additional informationCallout TooltipAuthorized official name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.
Authorized Official TitleLCSW
Authorized Official Phone(801) 468-6856

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
=========009MEDICAID (05)UT
=========MEDICARE ID-TYPE UNSPECIFIED (04)UT

Map Location


CHRISTUS ST. JOSEPH VILLA address is 451 BISHOP FEDERAL LN SALT LAKE CITY, UT 84115

Other Providers at the same location


The following 10 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1093774218CHRISTUS HEALTH UTAH
Organization
Skilled Nursing Facility451 BISHOP FEDERAL LN
SALT LAKE CITY, UT 84115
(801) 487-7557
1124142427IHC HEALTH SERVICES INC
Organization
Clinic/Center (Sleep Disorder Diagnostic)451 BISHOP FEDERAL LN
SALT LAKE CITY, UT 84115
(801) 442-1400
1184708919CHRISTUS HEALTH UTAH
Organization
Psychiatric Hospital451 BISHOP FEDERAL LN
SALT LAKE CITY, UT 84115
(801) 487-7557
1255634879SUCCESSOR HEALTHCARE LLC
Organization
Skilled Nursing Facility451 BISHOP FEDERAL LN
SALT LAKE CITY, UT 84115
(801) 487-7557
1346544962 CONNIE J SIMMS LCSW
Individual
Social Worker (Clinical)451 BISHOP FEDERAL LN
SALT LAKE CITY, UT 84115
(801) 487-7557
1376545798DR. MARY JANE NORMAN M.D.
Individual
Internal Medicine451 BISHOP FEDERAL LN
SALT LAKE CITY, UT 84115
(801) 942-0616
1558693523MARY JANE NORMAN MD A PROFESSIONAL CORPORATION
Organization
Medical Genetics (Ph.D. Medical Genetics)451 BISHOP FEDERAL LN
SALT LAKE CITY, UT 84115
(801) 942-0616
1699868950MS. SONJA J BATES APRN
Individual
Nurse Practitioner (Psych/Mental Health)451 BISHOP FEDERAL LN
SALT LAKE CITY, UT 84115
(801) 487-7557
1780887521MS. SIMONE JASMIN HENNIG LCSW
Individual
Social Worker (Clinical)451 BISHOP FEDERAL LN
SALT LAKE CITY, UT 84115
(801) 468-6856
1861653784MR. MARK DOUGLAS MOTTONEN
Individual
Social Worker (Clinical)451 BISHOP FEDERAL LN
S SALT LAKE, UT 84115
(801) 487-7557