Niitsuma Living Center

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL17234 Issued in UT

Legal business name

NIITSUMA LIVING CENTER

Practice address

4347 S 700 E
Salt Lake City, UT 84107-3063

Phone

(801) 269-1230

Fax

(801) 269-1230

NPI assigned

Feb 16, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Rebecca Niitsuma, OWNER

Title

Administrator

Phone

(801) 269-1230

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144364662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4347 S 700 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841073063",
            "telephone_number": "801-269-1230",
            "fax_number": "801-269-1230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4347 S 700 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841073063",
            "telephone_number": "801-269-1230",
            "fax_number": "801-269-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIITSUMA LIVING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NIITSUMA",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "801-269-1230",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "UT",
            "license": "AL17234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Assisted Living Facility in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.