Organization Active NPI

Salisbury Assisted Living, LLC

  • Assisted Living Facility
  • Salt Lake City, UT
National Provider Identifier
1629616867
Registry record updated Dec 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SALISBURY ASSISTED LIVING, LLC
Practice address
574 E 100 S
Salt Lake City, UT 84102-1905
Phone
(801) 485-5055
Fax
(801) 467-3296
NPI assigned
Dec 18, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2019

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

Authorized official

Name
Mr. Mark Cacciamani, MDNPI 1063500163
Title
Manager
Phone
(801) 485-5055

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

574 E 100 S
Salt Lake City, UT 84102-1905

Mailing address

522 E 100 S
Salt Lake City, UT 84102-1905
Phone (801) 485-5055

National Provider Directory

National Provider Directory

Locations

574 E 100 S
Salt Lake City, UT 84102
Phone (801) 485-5055

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1576627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576627200000",
    "number": "1629616867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 E 100 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841021905",
            "telephone_number": "801-485-5055",
            "fax_number": "801-467-3296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "574 E 100 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841021905",
            "telephone_number": "801-485-5055",
            "fax_number": "801-467-3296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALISBURY ASSISTED LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-18",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A",
        "authorized_official_last_name": "CACCIAMANI",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "801-485-5055",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "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 Dec 18, 2019; 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.