SMC Willow Creek, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

2006-ALII-23016 Issued in UT

Legal business name

SMC WILLOW CREEK, LLC

Practice address

8325 Highland Dr
Sandy, UT 84093-1000

Phone

(801) 733-6363

Fax

(801) 733-6362

NPI assigned

Dec 22, 2006

Organization subpart

Yes

Parent organization

SENIOR MANAGEMENT CONCEPTSAs reported in NPPES

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

Authorized official

Name

Mr. Gregory Graham Nield

Title

Administrator

Phone

(801) 733-6363

Specialties & licenses 1

Addresses

Part of

SMC Willow Creek LLC

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Senior Management Concepts

  • Assisted Living Facility
  • Salt Lake City, UT
  • NPI 1376601740
  NPPES parent name

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217462400000",
    "number": "1306901194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8325 HIGHLAND DR",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840931000",
            "telephone_number": "801-733-6363",
            "fax_number": "801-733-6362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8325 HIGHLAND DR",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840931000",
            "telephone_number": "801-733-6363",
            "fax_number": "801-733-6362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMC WILLOW CREEK, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SENIOR MANAGEMENT CONCEPTS",
        "enumeration_date": "2006-12-22",
        "last_updated": "2008-07-31",
        "status": "A",
        "authorized_official_last_name": "NIELD",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "GRAHAM",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "801-733-6363",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "UT",
            "license": "2006-ALII-23016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Joanne Slikker, MA, BCBA, LBA
• Christian Smalley, LPC, MBA
• Jarom Dave Smalley, CSW
• Dylan Smart
• Megan Renae Smart
• Smith Dental Care LLC
• Barbara Smith-Holmen, N.P.
• Andrew Smith, MD
• Bernadette Smith, APC
• Brett Smith

• All providers in Sandy, UT
• Assisted Living Facility in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.