Active NPI
Encore Senior Living II, LLC
- Assisted Living Facility
- Salt Lake City, UT
National Provider Identifier
1033317078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 2006-ALI-841
- Legal business name
- ENCORE SENIOR LIVING II, LLC
- Practice address
- 777 E 3900 S
Salt Lake City, UT 84107-2199 - Phone
- (801) 288-0700
- Fax
- (801) 288-2777
- NPI assigned
- Jul 10, 2007
- Organization subpart
- Yes
- Parent organization
- ENCORE SENIOR LIVING, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Bruce Alexander Schoen
- Title
- Ex Vice President/Cfo
- Phone
- (503) 905-3347
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 2006-ALI-841 | UT | Primary |
Addresses
Primary practice location
777 E 3900 S
Salt Lake City, UT 84107-2199
Mailing address
6400 SE Lake Rd
Suite 400
Milwaukie, OR 97222-2129
Phone (503) 905-3300
National Provider Directory
National Provider Directory- Part of
- Encore Senior Living LLC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184025600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1191888000000",
"number": "1033317078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6400 SE LAKE RD",
"address_2": "SUITE 400",
"city": "MILWAUKIE",
"state": "OR",
"postal_code": "972222129",
"telephone_number": "503-905-3300",
"fax_number": "503-905-3333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 E 3900 S",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841072199",
"telephone_number": "801-288-0700",
"fax_number": "801-288-2777"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ENCORE SENIOR LIVING II, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ENCORE SENIOR LIVING, LLC",
"enumeration_date": "2007-07-10",
"last_updated": "2007-10-09",
"status": "A",
"authorized_official_last_name": "SCHOEN",
"authorized_official_first_name": "BRUCE",
"authorized_official_middle_name": "ALEXANDER",
"authorized_official_title_or_position": "EX VICE PRESIDENT/CFO",
"authorized_official_telephone_number": "503-905-3347",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "UT",
"license": "2006-ALI-841",
"primary": true
}
],
"identifiers": [],
"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 Oct 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.