MISSION AT COMMUNITY LIVING CENTER
NPI 1225454028
Skilled Nursing Facility in Centerfield, UT

Active since March 17, 2014CLIA 46D2202806 · Waiver
10 WEST 400 SOUTH, CENTERFIELD, UT 84622(435) 528-2816 Get Directions Write a Review

NPPES record last updated: March 17, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mission At Community Living Center NPPES

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

MISSION AT COMMUNITY LIVING CENTER (NPI 1225454028) is a healthcare organization registered as a skilled nursing facility in Centerfield, Utah and active in the NPI registry since March 2014. The organization holds a CLIA Waiver certificate valid through November 30, 2026 and lists Gary Kelso, President, as its authorized official.

NPPES Registry Identity

NPI1225454028
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameMISSION HEALTH SERVICES INC
Location Address10 WEST 400 SOUTHCenterfield, UT 84622-0260
Mailing Address2825 Virginia WayOgden, UT 84403-0452
Organization SubpartNo
Authorized OfficialGary KelsoPresident · (801) 389-1523
Enumeration DateMarch 17, 2014
NPI 1225454028 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.
10 WEST 400 SOUTH, Centerfield, UT 84622

Other Names 1

Doing Business AsMission At Community Living Center

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 46D2202806

Mission At Community Assisted Living · Centerfield, UT
Active · expires Nov 30, 2026
CLIA Number46D2202806
Laboratory TypeAssisted Living Facility
Certificate Effective DateDecember 1, 2024
Certificate Expiration DateNovember 30, 2026
Laboratory DirectorKathy A. Lloyd
Laboratory Phone(435) 528-2800
Laboratory LocationMission At Community Assisted Living10 W 400 S, Centerfield, UT 84622
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

Skilled Nursing Facility
10 WEST 400 SOUTH
CENTERFIELD, UT 84622
Recreation Therapist
10 WEST 400 SOUTH
CENTERFIELD, UT 84622
Recreation Therapist
10 WEST 400 SOUTH
CENTERFIELD, UT 84622

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 Mission Health Services Inc's NPI number?

The NPI number for Mission Health Services Inc is 1225454028. It was assigned to this organization in the NPPES registry on March 17, 2014. The provider is doing business as Mission At Community Living Center.

Where is Mission Health Services Inc located?

Mission Health Services Inc is located at 10 West 400 South, Centerfield, UT 84622. The listed phone number is (435) 528-2816.

What is Mission Health Services Inc's specialty?

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

Does Mission Health Services Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 46D2202806) is associated with this NPI, valid through November 30, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mission Health Services Inc was last updated on March 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.