Stonehenge of South Jordan LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

STONEHENGE OF SOUTH JORDAN LLC

Practice address

1371 West South Jordan Parkway
South Jordan, UT 84095-8848

Phone

(801) 253-1370

Fax

(801) 253-1395

NPI assigned

Jan 14, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Cory Robert Robison, CEO

Title

Owner

Phone

(801) 960-6000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1294963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452643200000",
    "number": "1134424617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1371 WEST SOUTH JORDAN PARKWAY",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840958848",
            "telephone_number": "801-253-1370",
            "fax_number": "801-253-1395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1371 WEST SOUTH JORDAN PARKWAY",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840958848",
            "telephone_number": "801-253-1370",
            "fax_number": "801-253-1395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONEHENGE OF SOUTH JORDAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-14",
        "last_updated": "2016-01-13",
        "status": "A",
        "authorized_official_last_name": "ROBISON",
        "authorized_official_first_name": "CORY",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-960-6000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cameron Stocking
• Everett Jackson Stockwell, D.C.
• Joseph Ross Stockwell, D.C.
• Shane Everett Stockwell, CRNA
• Stonehaven Dental - South Jordan, LLC
• Jared A Stong, PHARM.D.
• Jennifer Storrer
• Aaron Stout, LCSW
• Staci Stout, RDH, BSDH
• Whitney Claire Stout, RDH

• Skilled Nursing Facility in South Jordan, UT
• Providers in South Jordan, UT by specialty
• Skilled Nursing Facility in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.