3300 South Operating LLC

Primary specialty

Alzheimer Center (Dementia Center)Taxonomy code 311500000X

License

2016-ALII-UT000740 Issued in UT

Legal business name

3300 SOUTH OPERATING LLC

Doing business as

Osmond Senior Living - Salt Lake City

Practice address

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

Phone

(801) 467-0060

NPI assigned

Apr 21, 2016

Last updated

Apr 21, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Mark Daniel Miller

Title

Ceo MGMT Company

Phone

(717) 460-1625

Specialties & licenses 1

Addresses

Other names 1

• Osmond Senior Living - Salt Lake City Doing business as

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

{
    "created_epoch": "1461196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461196800000",
    "number": "1114371564",
    "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": "801-467-0060"
        },
        {
            "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": "801-467-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "3300 SOUTH OPERATING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-21",
        "last_updated": "2016-04-21",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "CEO MGMT COMPANY",
        "authorized_official_telephone_number": "717-460-1625",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "UT",
            "license": "2016-ALII-UT000740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Osmond Senior Living - Salt Lake City",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Alzheimer Center (Dementia Center) in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Alzheimer Center (Dementia Center) in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2016; 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.