Organization Active NPI

Westside Community Nursing Center

  • Nursing Facility/Intermediate Care Facility
  • Salt Lake City, UT
National Provider Identifier
1457354755
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
Legal business name
WESTSIDE COMMUNITY NURSING CENTER
Practice address
876 W 700 S
Salt Lake City, UT 84104-1404
Phone
(801) 355-9649
Fax
(801) 531-7003
NPI assigned
May 31, 2005
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
Susan Chavis
Title
Administrator
Phone
(801) 355-9649

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X UT Primary

Addresses

Primary practice location

876 W 700 S
Salt Lake City, UT 84104-1404

Mailing address

876 W 700 S
Salt Lake City, UT 84104-1404
Phone (801) 355-9649

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457354755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "876 W 700 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841041404",
            "telephone_number": "801-355-9649",
            "fax_number": "801-531-7003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "876 W 700 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841041404",
            "telephone_number": "801-355-9649",
            "fax_number": "801-531-7003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE COMMUNITY NURSING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHAVIS",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "801-355-9649"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care 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 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.