5Star Home of Sandy
Organization Active NPI Assisted Living Facility · Sandy, UT
NPI 1457721789 · NPPES record last updated Sep 29, 2015
Key facts
- NPI
- 1457721789
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- License
- 2015-ALI-UT207199 (UT)
- Legal business name
- 5STAR HOME OF SANDY
- Practice address
- 465 E Sego Lily Dr
Sandy, UT 84070-3547 - Phone
- (801) 523-8777
- Fax
- (801) 523-1132
- NPI assigned
- Sep 29, 2015
- Organization subpart
- No
Authorized official
- Name
- Mr. Jorge Gustavo Gonzalez
- Title
- Administrator
- Phone
- (801) 753-9130
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 2015-ALI-UT207199 | UT | Yes |
Addresses
Primary practice location
465 E Sego Lily Dr
Sandy, UT 84070-3547
Mailing address
465 E Sego Lily Dr
Sandy, UT 84070-3547
Phone (801) 523-8777
Other providers in Sandy, UT
All providers in Sandy, UT · Assisted Living Facility in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 29, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.