Active NPI
Deseret Care Center LLC
- Skilled Nursing Facility
- Salt Lake City, UT
National Provider Identifier
1023311362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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 LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001989490 | Medicaid | NV |
National Provider Directory
National Provider DirectoryNPI 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.