Provider Demographics
NPI:1649764150
Name:TEMPLEVIEW ELDER CARE & REHAB
Entity Type:Organization
Organization Name:TEMPLEVIEW ELDER CARE & REHAB
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MERVYN
Authorized Official - Middle Name:
Authorized Official - Last Name:NUGENT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:435-668-7979
Mailing Address - Street 1:630 S 200 E
Mailing Address - Street 2:
Mailing Address - City:ST GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84770-3933
Mailing Address - Country:US
Mailing Address - Phone:435-668-7979
Mailing Address - Fax:
Practice Address - Street 1:630 S 200 E
Practice Address - Street 2:
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84770-3933
Practice Address - Country:US
Practice Address - Phone:435-668-7979
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-18
Last Update Date:2018-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health