Organization Active NPI

The Wentworth at Cottonwood Heights

  • Assisted Living Facility
  • Salt Lake City, UT
National Provider Identifier
1356416283
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
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

Updated by the provider on Apr 20, 2008

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)CodeLicenseStatePrimary
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 Directory

NPI 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

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.

Verify at the official NPI Registry.