Wellington MSL, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

2011-ALII-50458 Issued in UT

Legal business name

WELLINGTON MSL, LLC

Doing business as

The Wellington

Practice address

4522 S 1300 E
Salt Lake City, UT 84117-4177

Phone

(801) 281-3477

Fax

(801) 268-1854

NPI assigned

Jun 29, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Lary Simon

Title

Senior Vice President and Cfo

Phone

(949) 242-1400

Specialties & licenses 1

Addresses

Other names 1

• The Wellington Doing business as

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

{
    "created_epoch": "1309305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309305600000",
    "number": "1568759488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 TECHNOLOGY DR",
            "address_2": "STE 200",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182478",
            "telephone_number": "949-242-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4522 S 1300 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841174177",
            "telephone_number": "801-281-3477",
            "fax_number": "801-268-1854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLINGTON MSL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-29",
        "last_updated": "2011-06-29",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "LARY",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT AND CFO",
        "authorized_official_telephone_number": "949-242-1400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "UT",
            "license": "2011-ALII-50458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Wellington",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shari J Welch, MD
• David Welker
• Wellhealthmd, LLC
• Kamryn L Welling
• Laura Jean Welling
• Christine Thersa Wellington, SSW
• Garry Wellisch, APRN
• Samuel Turner Wellman
• Wellness Simplified, LLC
• Wellness Through Wonder Counseling PLLC

• Assisted Living Facility in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Assisted Living Facility in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2011; 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.