Shanekor LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

2008-ALI-76697 Issued in UT

Legal business name

SHANEKOR LLC

Practice address

1027 E 800 N
Orem, UT 84097-4313

Phone

(801) 783-6499

NPI assigned

Jan 29, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Kordine Cottam

Title

Administrator

Phone

(801) 783-6499

Specialties & licenses 1

Addresses

Other names 1

• Canyon Cove Assisted Living Doing business as

Locations

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

{
    "created_epoch": "1233187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233187200000",
    "number": "1083852057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1027 E 800 N",
            "address_2": "1045 E. 800 N.",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840974313",
            "telephone_number": "801-783-6499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1027 E 800 N",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840974313",
            "telephone_number": "801-783-6499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANEKOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-29",
        "last_updated": "2009-01-29",
        "status": "A",
        "authorized_official_last_name": "COTTAM",
        "authorized_official_first_name": "KORDINE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "801-783-6499",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "UT",
            "license": "2008-ALI-76697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Canyon Cove Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nathan Sellers, LCSW
• Patrick Sellers, DC, LAC
• Kirollos Semary, DMD
• Brandy L Sensabaugh
• Jeremy Harrison Severe
• Shannon Tymchuk Sharp, MSN, APRN, FNP-C
• Danielle Marie Shaw
• Kerry Shea, M.ED
• Tess Shearer
• Jade Waynett Sheedy

• Adult Day Care Clinic/Center in Orem, UT
• Providers in Orem, UT by specialty
• Adult Day Care Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2009; 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.