AVALON VALLEY CARE CENTER LLC
NPI 1700870896
Skilled Nursing Facility in Salt Lake City, UT
NPI Status: Active since September 06, 2005
Contact Information
2472 S 300 E
SALT LAKE CITY, UT
ZIP 84115
Phone: (801) 466-2211
Fax: (801) 486-1154
- Organization
- Skilled Nursing Facility
- Accepts Insurance
- CLIA Number: 46D0524371
- CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
- CLIA Exp. Date: 08-31-2026
About AVALON VALLEY CARE CENTER LLC
This page provides the complete NPI Profile along with additional information for Avalon Valley Care Center Llc, a provider established in Salt Lake City, Utah operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1700870896 assigned on September 2005. The practitioner's primary taxonomy code is 314000000X with license number 2005-NCF-55 (UT). The provider is registered as an organization and their NPI record was last updated 12 years ago. The authorized official of this NPI record is Faye Lincoln (Vp, Policy/government Relations)
- NPI
- 1700870896
- Provider Name
- AVALON VALLEY CARE CENTER LLC
- Entity Type
- Organization
- Location Address
- 2472 S 300 E SALT LAKE CITY, UT 84115
- Location Phone
- (801) 466-2211
- Location Fax
- (801) 486-1154
- Mailing Address
- 206 N 2100 W SALT LAKE CITY, UT 84116
- Mailing Phone
- (801) 325-0153
- Mailing Fax
- (801) 486-1154
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-06-2005
- Last Update Date
- 08-29-2013
- Code Navigator
Location Map
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.
- 2005-NCF-55
- License State
- UT
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
- Bronze 4 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 6 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Med Benchmark Expanded Bronze Select Copay Plan - HMO
- Med Benchmark Expanded Bronze Standardized Plan - HMO
- Med Benchmark Gold Standardized Plan - HMO
- Med Benchmark Platinum - HMO
- Med Benchmark Platinum Standardized Plan - HMO
- Med Benchmark Silver 6000 Medical Deductible w/Vision - HMO
- Med Benchmark Silver Standardized Plan - HMO
- Med Gold 1500 Medical Deductible - HMO
- Signature Benchmark Gold - HMO
- Signature Benchmark Gold Standardized Plan - HMO
- Signature Benchmark Silver 5900 Medical Deductible - HMO
- Signature Benchmark Silver Standardized Plan - HMO
- Value Benchmark Expanded Bronze Select Copay Plan - HMO
- Value Benchmark Gold Standardized Plan - HMO
- Value Benchmark Platinum - HMO
- Value Benchmark Platinum Standardized Plan - HMO
- Value Benchmark Silver 5900 Medical Deductible - HMO
- Value Benchmark Silver Standardized Plan - HMO
- Value Expanded Bronze 6900 Medical Deductible - HMO
- Value Gold 1500 Medical Deductible - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| =========001 | MEDICAID (05) | UT | |
| 465146 | MEDICARE OSCAR/CERTIFICATION (06) | UT |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 46D0524371
- Facility Type
- Skilled Nursing Facility/Nursing Facility
- Certificate Effective Date
- September 01, 2024
- Certificate Expiration Date
- August 31, 2026
- Laboratory Director
- SCOTT BLAKLEY
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Avalon Valley Care Center Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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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. | |||||||||
| 1 | 7 | 0 | 0 | 8 | 7 | 0 | 8 | 9 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 0 | 0 | 16 | 7 | 0 | 8 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 0 + 0 + 1 + 6 + 7 + 0 + 8 + 1 + 8 + 24 = 64 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 64 = 6 | 6 | ||||||||
The NPI number 1700870896 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 14 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1679557219 | CAROLYN P PARKER RN Individual | Registered Nurse | 2472 S 300 E SALT LAKE CITY, UT 84115 (801) 415-7427 |
| 1225013410 | MR. DENNIS R RICE LPN Individual | Licensed Practical Nurse | 2472 S 300 E SALT LAKE CITY, UT 84115 (801) 415-7426 |
| 1205892080 | VALLEY MENTAL HEALTH INCORPORATED Organization | Psychiatry & Neurology (Psychiatry) | 2472 S 300 E SALT LAKE CITY, UT 84115 (801) 415-7591 |
| 1417361007 | MS. RACHEL YARMAN Individual | Physical Therapist | 2472 S 300 E SALT LAKE CITY, UT 84115 (801) 466-2211 |
| 1376044685 | SKYLER GAILLARD Individual | Physical Therapy Assistant | 2472 S 300 E SALT LAKE CITY, UT 84115 (801) 466-2211 |
| 1952802266 | SHAWNEE BURNETT Individual | Occupational Therapist | 2472 S 300 E SALT LAKE CITY, UT 84115 (801) 466-2211 |
| 1487155891 | CHRISTOPHER BRICKER Individual | Occupational Therapy Assistant | 2472 S 300 E SALT LAKE CITY, UT 84115 (801) 466-2211 |
| 1508367814 | ANNETTE BERGESEN Individual | Occupational Therapy Assistant | 2472 S 300 E SALT LAKE CITY, UT 84115 (801) 466-2211 |
| 1154823037 | ROBYN MICHELLE MOORE Individual | Physical Therapy Assistant | 2472 S 300 E SALT LAKE CITY, UT 84115 (801) 466-2211 |
| 1952037939 | JACOB STOUT Individual | Physician Assistant | 2472 S 300 E SOUTH SALT LAKE, UT 84115 (801) 783-5011 |
| 1801653068 | JADE M IBARRA Individual | Recreation Therapist | 2472 S 300 E SOUTH SALT LAKE, UT 84115 (801) 466-2211 |
| 1699518183 | JEFF NUMBERS Individual | Recreational Therapist Assistant | 2472 S 300 E SOUTH SALT LAKE, UT 84115 (801) 466-2211 |
| 1427866383 | KENNETH ANDREW LEE RN Individual | Registered Nurse (General Practice) | 2472 S 300 E SOUTH SALT LAKE, UT 84115 (801) 466-2211 |
| 1780157529 | GUNNISON VALLEY HOSPITAL Organization | Skilled Nursing Facility | 2472 S 300 E SALT LAKE CITY, UT 84115 (801) 466-2211 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1700870896, enumerated in the NPI registry as an "organization" on September 06, 2005
The provider is located at 2472 S 300 E Salt Lake City, Ut 84115 and the phone number is (801) 466-2211
This medical organization specializes in Skilled Nursing Facility with taxonomy code 314000000X
The provider might be accepting Accepts: Aetna CVS Health, Select Health, Medicare and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 46D0524371 for a "skilled nursing facility/nursing facility" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on September 06, 2005. 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].
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