Organization Active NPI

Deseret Care Center LLC

  • Skilled Nursing Facility
  • Salt Lake City, UT
National Provider Identifier
1023311362
Registry record updated Dec 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
DESERET CARE CENTER LLC
Practice address
950 E 3300 S
Salt Lake City, UT 84106-2141
Phone
(801) 486-5121
NPI assigned
Dec 8, 2010
Organization subpart
Yes
Parent organization
DNR TWO LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 10, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Garett Robertson
Title
Ceo
Phone
(801) 296-5105

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

950 E 3300 S
Salt Lake City, UT 84106-2141

Mailing address

950 E 3300 S
Salt Lake City, UT 84106-2141
Phone (801) 486-5121

Other identifiers 1

IdentifierTypeStateIssuer
001989490MedicaidNV

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1291766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386633600000",
    "number": "1023311362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 E 3300 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841062141",
            "telephone_number": "801-486-5121",
            "fax_number": "801-486-5146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 E 3300 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841062141",
            "telephone_number": "801-486-5121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERET CARE CENTER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DNR TWO LLC",
        "enumeration_date": "2010-12-08",
        "last_updated": "2013-12-10",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "GARETT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "801-296-5105"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001989490",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.