NORTHERN UTAH REHABILITATION HOSPITAL LLC
NPI 1053732024
Rehabilitation Hospital in South Ogden, UT
NPI Status: Active since December 18, 2013
Contact Information
5825 HARRISON BLVD
SOUTH OGDEN, UT
ZIP 84403
Phone: (801) 475-5254
Fax: (801) 475-5259
- Organization
- Rehabilitation Hospital
- Accepts Insurance
- CLIA Number: 46D2072617
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 02-02-2028
About NORTHERN UTAH REHABILITATION HOSPITAL LLC
This page provides the complete NPI Profile along with additional information for Northern Utah Rehabilitation Hospital Llc, a provider established in South Ogden, Utah operating as a Rehabilitation Hospital. The healthcare provider is registered in the NPI registry with number 1053732024 assigned on December 2013. The practitioner's primary taxonomy code is 283X00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Denise Kann (Vice President And Secretary)
- NPI
- 1053732024
- Provider Name
- NORTHERN UTAH REHABILITATION HOSPITAL LLC
- Entity Type
- Organization
- Location Address
- 5825 HARRISON BLVD SOUTH OGDEN, UT 84403
- Location Phone
- (801) 475-5254
- Location Fax
- (801) 475-5259
- Mailing Address
- 1024 N GALLOWAY AVE STE 102 MESQUITE, TX 75149
- Mailing Phone
- (972) 216-2299
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-18-2013
- Last Update Date
- 11-14-2025
- Code Navigator
According to the Inpatient Rehabilitation Facility (IRF) Compare program data this facility is for profit and was certified on 05-22-2014 This facility might have treated people with Medicare who had these medical conditions during the last year: all other conditions, brain disease or condition (non-traumatic), brain injury (traumatic), hip or femur fracture, hip or knee replacement, amputation or other bone or joint condition, nervous system disorder (excluding stroke), spinal cord disease or condition (non-traumatic), spinal cord injury (traumatic) and stroke
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Rehabilitation Hospital
- Taxonomy Code
- 283X00000X
- Type
- Hospitals
- Taxonomy Description
- A hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Healthy Premier Bronze HSA - EPO
- Healthy Premier Expanded Bronze Standard - EPO
- Healthy Premier Gold Copay Office Visits - EPO
- Healthy Premier Gold Standard - EPO
- Healthy Premier Silver Copay Office Visits - EPO
- Healthy Premier Silver Standard - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Inpatient Rehabilitation Information
The Centers for Medicare and Medicaid Services Inpatient Rehabilitation Facility (IRF) data provides information on the quality of care that rehabilitation facilities are providing to their patients. This information can help consumers make informed decisions about health care.
- NORTHERN UTAH REHABILITATION HOSPITAL LLC has an ownership type of For profit
- The facility received it's medicare certification date on 05-22-2014
| Medical Condition | Times Conditions Treated |
|---|---|
| All other conditions | 99 |
| Brain disease or condition (non-traumatic) | 27 |
| Brain injury (traumatic) | Less than 11 - The number of cases/patient stays is too small to report. |
| Hip or femur fracture | 39 |
| Hip or knee replacement, amputation or other bone or joint condition | 79 |
| Nervous system disorder (excluding stroke) | 51 |
| Spinal cord disease or condition (non-traumatic) | Less than 11 - The number of cases/patient stays is too small to report. |
| Spinal cord injury (traumatic) | Less than 11 - The number of cases/patient stays is too small to report. |
| Stroke | 48 |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 46D2072617
- Facility Type
- Hospital
- Certificate Effective Date
- February 03, 2026
- Certificate Expiration Date
- February 02, 2028
- Laboratory Director
- CAMERON PETERSON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Northern Utah Rehabilitation Hospital Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1053732024, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 46. The final step is to find the difference between that total and the next multiple of ten (50 - 46 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 46 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
SOUTH OGDEN, UT 84403
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1053732024, enumerated as an "organization" on December 18, 2013.
The provider is located at 5825 HARRISON BLVD SOUTH OGDEN, UT 84403 and the phone number is (801) 475-5254.
Rehabilitation Hospital with taxonomy code 283X00000X.
The provider might be accepting Accepts: University of Utah Health Plans. Please consult your insurance carrier or call the provider to verify.
