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

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: July 19, 2026.

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

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

What is PINE VALLEY SENIOR LIVING LLC's NPI number?

The NPI number assigned to this healthcare provider is 1336901834, enumerated as an "organization" on January 29, 2024.

Where is the provider located?

The provider is located at 134 W 2025 S ST GEORGE, UT 84770 and the phone number is (435) 628-1117.

What is the provider's specialty?

Assisted Living Facility with taxonomy code 310400000X.