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1031cf Portfolio 4 Mt LLC

NPI 1689358913ActiveOrganization· Assisted Living Facility· St George, UT

Assisted Living Facility in St George, Utah, registered in NPPES in June 2023, part of 1031cf Portfolio 4 Mt LLC. The authorized official on file is Edward Fernandez, Authorized Designee.

Overview

NPI1689358913
StatusActive
Entity typeOrganization (subpart)
Parent organization1031cf Portfolio 4 Mt LLC
NPI issuedJun 15, 2023
Last updated in NPPESJun 15, 2023
Certified by providerJun 6, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Assisted Living Facility Primary310400000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other assisted living facilities in St George

All 21 assisted living facilities in St George · All assisted living facilities in Utah