Healthcare Provider Details

I. General information

NPI: 1144157082
Provider Name (Legal Business Name): DESERT HAVEN HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6135 S JASPER RIDGE DR
SAINT GEORGE UT
84790-2744
US

IV. Provider business mailing address

7533 S CENTER VIEW CT STE N
WEST JORDAN UT
84084-5526
US

V. Phone/Fax

Practice location:
  • Phone: 435-767-1239
  • Fax:
Mailing address:
  • Phone: 435-767-1239
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MR. CHACE LOVE
Title or Position: MANAGING MEMBER
Credential: NP
Phone: 435-767-1239