Provider Demographics
NPI:1477586956
Name:AHC OF MURRAY, LLC
Entity Type:Organization
Organization Name:AHC OF MURRAY, LLC
Other - Org Name:ASPEN RIDGE TRANSITIONAL REHAB
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:OXNAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-713-3100
Mailing Address - Street 1:963 E 6600 S
Mailing Address - Street 2:
Mailing Address - City:MURRAY
Mailing Address - State:UT
Mailing Address - Zip Code:84121-2444
Mailing Address - Country:US
Mailing Address - Phone:801-713-3100
Mailing Address - Fax:801-713-3150
Practice Address - Street 1:963 E 6600 S
Practice Address - Street 2:
Practice Address - City:MURRAY
Practice Address - State:UT
Practice Address - Zip Code:84121-2444
Practice Address - Country:US
Practice Address - Phone:801-713-3100
Practice Address - Fax:801-713-3150
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NEW AHC HOLDINGS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-07-08
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT465159Medicare Oscar/Certification