KYLE LEE DECKER COTA
NPI 1558657114
Skilled Nursing Facility in Washington, UT

Active since June 22, 2011
504 E TELEGRAPH ST UNIT 81, WASHINGTON, UT 84780(210) 284-4622 Get Directions Write a Review

NPPES record last updated: June 22, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Male
  • Skilled Nursing Facility

About KYLE DECKER

This page provides the complete NPI Profile along with additional information for Kyle Decker, a provider established in Washington, Utah with a medical specialization in Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1558657114 assigned on June 2011. The practitioner's primary taxonomy code is 314000000X with license number 0131000877 (VA). The provider is registered as an individual and his NPI record was last updated 15 years ago.

NPI
1558657114 Verify this NPI
Provider Name
KYLE LEE DECKER COTA
Gender
Male
Entity Type
Individual
Location Address
504 E TELEGRAPH ST UNIT 81 WASHINGTON, UT 84780
Location Phone
(210) 284-4622
Mailing Address
504 E TELEGRAPH ST UNIT 81 WASHINGTON, UT 84780
Mailing Phone
(210) 284-4622
Is Sole Proprietor?
Yes
Enumeration Date
06-22-2011
Last Update Date
06-22-2011
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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

Skilled Nursing Facility

Taxonomy Code
314000000X
Type
Nursing & Custodial Care Facilities
License No.
0131000877
License State
VA
Taxonomy Description
(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.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1558657114, enumerated as an "individual" on June 22, 2011.

The provider is located at 504 E TELEGRAPH ST UNIT 81 WASHINGTON, UT 84780 and the phone number is (210) 284-4622.

Skilled Nursing Facility with taxonomy code 314000000X.