Cottonwood Creek MSL, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

2011-ALI-88423 Issued in UT

Legal business name

COTTONWOOD CREEK MSL, LLC

Doing business as

Cottonwood Creek

Practice address

1245 Murray Holladay Rd
Salt Lake City, UT 84117-4992

Phone

(801) 263-0999

Fax

(801) 262-4770

NPI assigned

Jun 29, 2011

Last updated

Jun 29, 2011By the provider in NPPES

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

• Cottonwood Creek Doing business as

Locations

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": "1578850590",
    "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": "1245 MURRAY HOLLADAY RD",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841174992",
            "telephone_number": "801-263-0999",
            "fax_number": "801-262-4770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COTTONWOOD CREEK 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-ALI-88423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cottonwood Creek",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sara Elizabeth Cottle
• Jamie Lisbeth Cotton Joachin, RD
• Michael Brent Cotton, D.P.T
• Cottonwood Behavioral Counseling LLC
• Cottonwood Center for Counseling (Family Abuse Center for Treatment)
• Cottonwood Endodontics PC
• Cottonwood Eye & Laser Clinic, P.C.
• Cottonwood Pediatric Dental (All About Smiles)
• Cottonwood Pediatric Dentistry
• Cottonwood Professional Coaching LLC

• 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.