NPIMap

Organization Active NPI

Cedar Hills MSL, LLC

Doing business as Charleston at Cedar Hills

  • Assisted Living Facility
  • Cedar Hills, UT
National Provider Identifier
1063700748
Registry record updated Jul 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
2011-ALII-101019 Issued in UT
Legal business name
CEDAR HILLS MSL, LLC
Doing business as
Charleston at Cedar Hills
Practice address
10020 N 4600 W
Cedar Hills, UT 84062-8832
Phone
(801) 772-0123
Fax
(801) 772-0127
NPI assigned
Jul 15, 2011
Last updated
Jul 15, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2011

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

Authorized official

Name
Mr. Lary Simon
Title
Senior Vice President and Cfo
Phone
(949) 242-1400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 2011-ALII-101019 UT Primary

Addresses

Primary practice location

10020 N 4600 W
Cedar Hills, UT 84062-8832

Mailing address

175 Technology Dr
Ste 200
Irvine, CA 92618-2478
Phone (949) 242-1400

Other names 1

  • Charleston at Cedar Hills Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1310688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310688000000",
    "number": "1063700748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 TECHNOLOGY DR",
            "address_2": "STE 200",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182478",
            "telephone_number": "949-242-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10020 N 4600 W",
            "city": "CEDAR HILLS",
            "state": "UT",
            "postal_code": "840628832",
            "telephone_number": "801-772-0123",
            "fax_number": "801-772-0127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR HILLS MSL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-15",
        "last_updated": "2011-07-15",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "LARY",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT AND CFO",
        "authorized_official_telephone_number": "949-242-1400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "UT",
            "license": "2011-ALII-101019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charleston at Cedar Hills",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cedar Hills, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2011; 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.