NPIMap

Organization Active NPI

Catholic Health Initiatives Colorado

Doing business as SRSL Senior Care SLC

  • Internal Medicine Physician
  • Salt Lake City, UT
National Provider Identifier
1265135149
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CATHOLIC HEALTH INITIATIVES COLORADO
Doing business as
SRSL Senior Care SLC
Practice address
82 S 1100 E Ste 403
Salt Lake City, UT 84102-1892
Phone
(801) 384-4730
Fax
(801) 384-4733
NPI assigned
Mar 22, 2023
Last updated
Feb 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

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

Authorized official

Name
Mrs. Angela J Skinner
Title
Administrator, Oma
Phone
(303) 673-7175

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X NU

Addresses

Primary practice location

82 S 1100 E Ste 403
Salt Lake City, UT 84102-1892

Mailing address

PO Box 800022
Kansas City, MO 64180-0022
Phone (800) 953-0104

Other names 4

  • SRSL SENIOR CARE SLC Doing business as
  • Internal Medicine Salt Lake City Other name
  • Primary Care Salt Lake Other name
  • Senior Care Salt Lake City Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230615001995 UT Part B Supplier - Clinic/Group Practice 8022927342 Receives reassigned benefits from 168 practitioners
This NPI is an additional NPI on the enrollment
Practice locations: South Jordan, UT; West Jordan, UT; West Valley, UT; West Valley City, UT; Eagle Mountain, UT; Salt Lake City, UT; Cottonwood Heights, UT; Kaysville, UT…

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
46D0931932Commonspirit Primary Care Salt Lake City82 S 1100 E #403, Salt Lake City, UT 84102Certificate of waiverApr 14, 2027

National Provider Directory

National Provider Directory
Tax ID family
Intermountain Neuro319 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 23

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1679443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739750400000",
    "number": "1265135149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 800022",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641800022",
            "telephone_number": "800-953-0104",
            "fax_number": "303-765-6670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 S 1100 E STE 403",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841021892",
            "telephone_number": "801-384-4730",
            "fax_number": "801-384-4733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC HEALTH INITIATIVES COLORADO",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-22",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A",
        "authorized_official_last_name": "SKINNER",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATOR, OMA",
        "authorized_official_telephone_number": "303-673-7175",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SRSL SENIOR CARE SLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Internal Medicine Salt Lake City",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Primary Care Salt Lake",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Senior Care Salt Lake City",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Feb 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.