Organization Active NPI

Woodland Care Center, LLC

Doing business as Woodland Park Rehabillitation and Care Center

  • Skilled Nursing Facility
  • Salt Lake City, UT
National Provider Identifier
1336140094
Registry record updated Jan 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
2005-NCF-59874 Issued in UT
Legal business name
WOODLAND CARE CENTER, LLC
Doing business as
Woodland Park Rehabillitation and Care Center
Practice address
3855 S 700 E
Salt Lake City, UT 84106-1157
Phone
(801) 268-4766
Fax
(801) 268-4893
NPI assigned
Aug 3, 2005
Last updated
Jan 31, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2017

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

Authorized official

Name
Faye Lincoln
Title
VP, Policy/Government Relations
Phone
(801) 325-0153

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 2005-NCF-59874 UT Primary

Addresses

Primary practice location

3855 S 700 E
Salt Lake City, UT 84106-1157

Mailing address

255 E 400 S
Suite 200
Salt Lake City, UT 84111-2846
Phone (801) 325-0153

Other names 1

  • Woodland Park Rehabillitation and Care Center 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": "1123027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485820800000",
    "number": "1336140094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 E 400 S",
            "address_2": "SUITE 200",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841112846",
            "telephone_number": "801-325-0153",
            "fax_number": "801-596-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3855 S 700 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841061157",
            "telephone_number": "801-268-4766",
            "fax_number": "801-268-4893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODLAND CARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-03",
        "last_updated": "2017-01-31",
        "status": "A",
        "authorized_official_last_name": "LINCOLN",
        "authorized_official_first_name": "FAYE",
        "authorized_official_title_or_position": "VP, POLICY/GOVERNMENT RELATIONS",
        "authorized_official_telephone_number": "801-325-0153"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "UT",
            "license": "2005-NCF-59874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodland Park Rehabillitation and Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 31, 2017; 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.