OrganizationActive
Trinity Mission Health & Rehab of Provo, Lp
NPI 1043260771 · Skilled Nursing Facility · Provo, UT
Provider details
- NPI number
- 1043260771
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Parent organization
- Covenant Dove, LLC
- Organization subpart
- Yes
- Authorized official
- Judy Ullery, President(901) 937-7994
- License
- 2006-NCF-43 (UT)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1053 W 1020 S
Provo, UT 84601-5656
Phone: (801) 373-2630
Fax: (801) 373-2660
Street-level locationGet directions
Mailing address
1053 W 1020 S
Provo, UT 84601-5656
Registry dates
- Enumerated
- 2006-05-11
- Last updated
- 2008-04-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.