DRAPER REHABILITATION AND CARE CENTER
NPI 1023215373
Skilled Nursing Facility in Draper, UT

Active since June 29, 2007CLIA 46D2101093 · Waiver
12702 FORT ST, DRAPER, UT 84020(801) 571-2704(801) 571-8921 Get Directions Write a Review

NPPES record last updated: June 3, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Draper Rehabilitation And Care Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DRAPER REHABILITATION AND CARE CENTER (NPI 1023215373) is a healthcare organization registered as a skilled nursing facility in Draper, Utah and active in the NPI registry since June 2007. The organization holds a CLIA Waiver certificate valid through August 26, 2027 and lists Soon E. Burnam, Treasurer, as its authorized official.

NPPES Registry Identity

NPI1023215373
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameSOUTH VALLEY HEALTHCARE, INC.
Location Address12702 FORT STDraper, UT 84020-9755
Mailing Address27101 Puerta Real, Suite 450Mission Viejo, CA 92691-8518 · (949) 540-1249 · Fax (949) 540-1966
Fax(801) 571-8921
Organization SubpartNo
Authorized OfficialSoon E. BurnamTreasurer · (949) 540-1249
Enumeration DateJune 29, 2007
Last NPPES UpdateJune 3, 2016
NPI 1023215373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
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.
12702 FORT ST, Draper, UT 84020

Other Names 1

Doing Business AsDraper Rehabilitation And Care Center

Other Identifiers 1

Medicare OSCAR/certification465091UT

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 46D2101093

Draper Rehabilitation And Care Center · Draper, UT
Active · expires Aug 26, 2027
CLIA Number46D2101093
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateAugust 27, 2025
Certificate Expiration DateAugust 26, 2027
Laboratory DirectorIsaac Noyes
Laboratory Phone(801) 571-2704
Laboratory LocationDraper Rehabilitation And Care Center12702 South Fort Street, Draper, UT 84020
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Skilled Nursing Facility
12702 FORT ST
DRAPER, UT 84020

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is South Valley Healthcare, Inc.'s NPI number?

The NPI number for South Valley Healthcare, Inc. is 1023215373. It was assigned to this organization in the NPPES registry on June 29, 2007. The provider is doing business as Draper Rehabilitation And Care Center.

Where is South Valley Healthcare, Inc. located?

South Valley Healthcare, Inc. is located at 12702 Fort St, Draper, UT 84020. The listed phone number is (801) 571-2704.

What is South Valley Healthcare, Inc.'s specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does South Valley Healthcare, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 46D2101093) is associated with this NPI, valid through August 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for South Valley Healthcare, Inc. was last updated on June 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.