Organization Active NPI

Superior Assisted Living LLC

  • Assisted Living Facility
  • Sandy, UT
National Provider Identifier
1235268202
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
2007-AL1-72909 Issued in UT
Legal business name
SUPERIOR ASSISTED LIVING LLC
Practice address
2499 Charros Rd
Sandy, UT 84092-4815
Phone
(801) 495-1086
NPI assigned
Mar 5, 2007
Last updated
Jun 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Authorized official

Name
Lorant Steve BodoNPI 1588843395
Title
Owner
Phone
(801) 495-1086

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 2007-AL1-72909 UT Primary

Addresses

Primary practice location

2499 Charros Rd
Sandy, UT 84092-4815

Mailing address

2499 Charros Rd
Sandy, UT 84092-4815
Phone (801) 495-1086

National Provider Directory

National Provider Directory
Tax ID family
Superior Assisted Living LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1235268202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2499 CHARROS RD",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840924815",
            "telephone_number": "801-495-1086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2499 CHARROS RD",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840924815",
            "telephone_number": "801-495-1086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "BODO",
        "authorized_official_first_name": "LORANT",
        "authorized_official_middle_name": "STEVE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-495-1086"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "UT",
            "license": "2007-AL1-72909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; 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.