UTAH LAKE HOLDINGS LLC
NPI 1326738345
Skilled Nursing Facility in San Diego, CA

NPI Status: Active since May 12, 2023

Contact Information

4075 54TH ST
SAN DIEGO, CA
ZIP 92105
Phone: (858) 798-5700

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  • Organization
  • Skilled Nursing Facility

About UTAH LAKE HOLDINGS LLC

This page provides the complete NPI Profile along with additional information for Utah Lake Holdings Llc, a provider established in San Diego, California operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1326738345 assigned on May 2023. The practitioner's primary taxonomy code is 314000000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Toby Tilford (Manager)

NPI
1326738345
Provider Name
UTAH LAKE HOLDINGS LLC
Entity Type
Organization
Location Address
4075 54TH ST SAN DIEGO, CA 92105
Location Phone
(858) 798-5700
Mailing Address
16544 FRANZEN FARM RD SAN DIEGO, CA 92127
Mailing Phone
(858) 798-5700
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-12-2023
Last Update Date
05-12-2023
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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
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

TOBY TILFORD

Authorized Official Title
MANAGER
Authorized Official Phone
(858) 798-5700

Reviews for UTAH LAKE HOLDINGS LLC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1326738345
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23461431638
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 4 + 6 + 1 + 4 + 3 + 1 + 6 + 3 + 8 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1326738345 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1851709893JACOB HEALTH CARE ASSISTED LIVING
Organization
Assisted Living Facility4075 54TH ST
SAN DIEGO, CA 92105
(619) 582-5168
1427550151MS. NINFA MAE REYES LAZARO
Individual
Registered Nurse4075 54TH ST
SAN DIEGO, CA 92105
(619) 582-5168
1881684900JACOB HEALTH CARE CENTER LP
Organization
Skilled Nursing Facility4075 54TH ST
SAN DIEGO, CA 92105
(323) 556-0040

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1326738345, enumerated in the NPI registry as an "organization" on May 12, 2023

The provider is located at 4075 54th St San Diego, Ca 92105 and the phone number is (858) 798-5700

This medical organization specializes in Skilled Nursing Facility with taxonomy code 314000000X

This NPI record was last updated on May 12, 2023. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.