Organization Active NPI

Encore Senior Living, LLC

  • Assisted Living Facility
  • Salt Lake City, UT
National Provider Identifier
1235327875
Registry record updated Oct 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
2007 AL1 82151 Issued in UT
Legal business name
ENCORE SENIOR LIVING, LLC
Practice address
777 E 3900 S
Salt Lake City, UT 84107-2199
Phone
(801) 288-0700
NPI assigned
Oct 9, 2007
Organization subpart
Yes
Parent organization
ENCORE SM, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 9, 2007

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

Authorized official

Name
Mr. Bruce Alexander Schoen
Title
Ex VP/Cfo
Phone
(503) 905-3347

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 2007 AL1 82151 UT Primary

Addresses

Primary practice location

777 E 3900 S
Salt Lake City, UT 84107-2199

Mailing address

6400 SE Lake Rd
Suite 400
Milwaukie, OR 97222-2129
Phone (503) 905-3347

National Provider Directory

National Provider Directory
Part of
Encore Senior Living LLC

NPI Registry JSON

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191888000000",
    "number": "1235327875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 SE LAKE RD",
            "address_2": "SUITE 400",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972222129",
            "telephone_number": "503-905-3347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 E 3900 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841072199",
            "telephone_number": "801-288-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENCORE SENIOR LIVING, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ENCORE SM, LLC",
        "enumeration_date": "2007-10-09",
        "last_updated": "2007-10-09",
        "status": "A",
        "authorized_official_last_name": "SCHOEN",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "EX VP/CFO",
        "authorized_official_telephone_number": "503-905-3347",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "UT",
            "license": "2007 AL1 82151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; 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.