Active NPI
The Wentworth at Cottonwood Heights
- Assisted Living Facility
- Salt Lake City, UT
National Provider Identifier
1356416283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- THE WENTWORTH AT COTTONWOOD HEIGHTS
- Practice address
- 6895 Whitmore Way
Salt Lake City, UT 84121-3003 - Phone
- (801) 943-3909
- Fax
- (801) 943-1021
- NPI assigned
- Nov 24, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Larry N Blake
- Title
- Owner
- Phone
- (310) 557-3788
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | UT | Primary |
Addresses
Primary practice location
6895 Whitmore Way
Salt Lake City, UT 84121-3003
Mailing address
6895 Whitmore Way
Salt Lake City, UT 84121-3003
Phone (801) 943-3909
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164326400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1356416283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6895 WHITMORE WAY",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841213003",
"telephone_number": "801-943-3909",
"fax_number": "801-943-1021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6895 WHITMORE WAY",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841213003",
"telephone_number": "801-943-3909",
"fax_number": "801-943-1021"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE WENTWORTH AT COTTONWOOD HEIGHTS",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-24",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "BLAKE",
"authorized_official_first_name": "LARRY",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "310-557-3788",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "UT",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
- The Salt Lake Marital and Family Therapy Clinic
- The Sarah Daft Home
- The Surgery Center at Salt Lake Regional, L.L.C.
- The Surgicare Center of Utah
- The Tooth Doctor
- The Worth of One Soul, Inc.
- The Young Men'S Christian Association of Northern Utah
- Chloe Shae Theeuwes, MD
- Lauren H Theilen, MD
- Holly L. Theisen
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.