PINE VALLEY SENIOR LIVING LLC
NPI 1336901834
Assisted Living Facility in St George, UT

Q: What is Pine Valley Senior Living LLC's NPI number?

The NPI number for Pine Valley Senior Living LLC is 1336901834. It was assigned to this organization in the NPPES registry on January 29, 2024. The provider is doing business as Southgate Senior Living.

Q: What is Pine Valley Senior Living LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Active since January 29, 2024

134 W 2025 S, ST GEORGE, UT 84770(435) 628-1117 Get Directions Write a Review

NPPES record last updated: November 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 17, 2025, Jun 12, 2025 (2 updates tracked since 2025).

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About Pine Valley Senior Living Llc NPPES

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

PINE VALLEY SENIOR LIVING LLC (NPI 1336901834), doing business as Southgate Senior Living, is a healthcare organization registered as an assisted living facility in St George, Utah and active in the NPI registry since January 2024. The organization lists Amber L Tueller, Secretary, as its authorized official.

NPPES Registry Identity

NPI1336901834

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NamePINE VALLEY SENIOR LIVING LLC

Location Address134 W 2025 SSt George, UT 84770-8790

Mailing Address134 W 2025 SSt George, UT 84770-8790 · (435) 628-1117

Phone(435) 628-1117

Organization SubpartNo

Authorized OfficialAmber L TuellerSecretary · (208) 369-7608

Enumeration DateJanuary 29, 2024

Last NPPES UpdateNovember 17, 20252 updates tracked since enumeration

NPPES CertifiedNovember 17, 2025

✔ NPI 1336901834 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

134 W 2025 S, St George, UT 84770

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Other Names 1

Doing Business AsSouthgate Senior Living

Other Providers at the Same Location NPPES

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

S-H OPCO CLIFF VIEW, LLC

Assisted Living Facility

134 W 2025 S
SAINT GEORGE, UT 84770

Washington County (435) 628-1117

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 Pine Valley Senior Living LLC's NPI number?

The NPI number for Pine Valley Senior Living LLC is 1336901834. It was assigned to this organization in the NPPES registry on January 29, 2024. The provider is doing business as Southgate Senior Living.

Where is Pine Valley Senior Living LLC located?

Pine Valley Senior Living LLC is located at 134 W 2025 S, St George, UT 84770. The listed phone number is (435) 628-1117.

What is Pine Valley Senior Living LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Pine Valley Senior Living LLC was last updated on November 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.