NPIMap

Organization Active NPI

Regent Salt Lake LLC

  • Assisted Living Facility
  • Midvale, UT
National Provider Identifier
1255535522
Registry record updated Jul 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
REGENT SALT LAKE LLC
Practice address
7235 Union Park Ave
Midvale, UT 84047-4700
Phone
(801) 568-9909
Fax
(801) 563-1305
NPI assigned
Jun 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2008

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

Authorized official

Name
Mr. Walter C. Bowen
Title
Ceo/Owner
Phone
(503) 595-3083

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 2006-ALII-25557 UT
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

7235 Union Park Ave
Midvale, UT 84047-4700

Mailing address

7235 Union Park Ave
Midvale, UT 84047-4700
Phone (801) 568-9909

Other names 1

  • Canyon Creek Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217376000000",
    "number": "1255535522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7235 UNION PARK AVE",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840474700",
            "telephone_number": "801-568-9909",
            "fax_number": "801-563-1305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7235 UNION PARK AVE",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840474700",
            "telephone_number": "801-568-9909",
            "fax_number": "801-563-1305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENT SALT LAKE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-12",
        "last_updated": "2008-07-30",
        "status": "A",
        "authorized_official_last_name": "BOWEN",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "503-595-3083",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "UT",
            "license": "2006-ALII-25557",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Canyon Creek",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Midvale, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.