Provider Demographics
NPI:1700822707
Name:AHC OGDEN LLC
Entity Type:Organization
Organization Name:AHC OGDEN LLC
Other - Org Name:PINE VIEW 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:801-447-9860
Mailing Address - Street 1:1497 E SKYLINE DR
Mailing Address - Street 2:
Mailing Address - City:SOUTH OGDEN
Mailing Address - State:UT
Mailing Address - Zip Code:84405-4837
Mailing Address - Country:US
Mailing Address - Phone:801-689-1600
Mailing Address - Fax:
Practice Address - Street 1:1497 E SKYLINE DR
Practice Address - Street 2:
Practice Address - City:SOUTH OGDEN
Practice Address - State:UT
Practice Address - Zip Code:84405-4837
Practice Address - Country:US
Practice Address - Phone:801-689-1600
Practice Address - Fax:801-689-1605
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NEW AHC HOLDINGS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-06-20
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
UT465155Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER