OrganizationActive
Beaver Valley Hospital
NPI 1962955237 · Skilled Nursing Facility · Salt Lake City, UT
Provider details
- NPI number
- 1962955237
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Soon Burnam, Treasurer of Management Company(949) 540-1249
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
4782 S Holladay Blvd
Salt Lake City, UT 84117-5444
Phone: (801) 277-7002
Fax: (801) 272-0622
Approximate (ZIP-level) locationGet directions
Mailing address
4782 S Holladay Blvd
Salt Lake City, UT 84117-5444
Other names (DBA / former)
- Doing business as
- Holladay Healthcare Center
- Doing business as
- Holladay Healthcare Center
Registry dates
- Enumerated
- 2016-08-03
- Last updated
- 2021-03-02
- Certified
- 2021-03-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.