NPIMap

Organization Active NPI

SMC East Mill Creek, LLC

Doing business as Wentworth at East Millcreek

  • Assisted Living Facility
  • Salt Lake City, UT
National Provider Identifier
1417011669
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
2005-ALII-976 Issued in UT
Legal business name
SMC EAST MILL CREEK, LLC
Doing business as
Wentworth at East Millcreek
Practice address
1871 E 3300 S
Salt Lake City, UT 84106-3969
Phone
(801) 485-0123
Fax
(801) 485-0234
NPI assigned
Dec 21, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Joyce Caughron
Title
Executive Director
Phone
(801) 485-0123

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 2005-ALII-976 UT Primary

Addresses

Primary practice location

1871 E 3300 S
Salt Lake City, UT 84106-3969

Mailing address

1871 E 3300 S
Salt Lake City, UT 84106-3969
Phone (801) 485-0123

Other names 1

  • Wentworth at East Millcreek Doing business as

National Provider Directory

National Provider Directory
Tax ID family
SMC East Mill Creek LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417011669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1871 E 3300 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841063969",
            "telephone_number": "801-485-0123",
            "fax_number": "801-485-0234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1871 E 3300 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841063969",
            "telephone_number": "801-485-0123",
            "fax_number": "801-485-0234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMC EAST MILL CREEK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CAUGHRON",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "801-485-0123"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "UT",
            "license": "2005-ALII-976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wentworth at East Millcreek",
            "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 Aug 22, 2020; 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.