SD Sunnyside LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SD SUNNYSIDE LLC

Practice address

737 S 1300 E
Salt Lake City, UT 84102-3713

Phone

(801) 582-5104

Fax

(801) 582-8808

NPI assigned

Aug 28, 2023

Organization subpart

No

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

Authorized official

Name

Brad Mikesell

Title

Board President

Phone

(801) 397-4000

Specialties & licenses 1

Addresses

Other names 1

• Sarah Daft Assisting Living Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693180800000",
    "number": "1689459745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "598 W 900 S STE 220",
            "city": "WOODS CROSS",
            "state": "UT",
            "postal_code": "840108195",
            "telephone_number": "801-397-4697",
            "fax_number": "801-296-9117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "737 S 1300 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841023713",
            "telephone_number": "801-582-5104",
            "fax_number": "801-582-8808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SD SUNNYSIDE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-28",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-25",
        "status": "A",
        "authorized_official_last_name": "MIKESELL",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "BOARD PRESIDENT",
        "authorized_official_telephone_number": "801-397-4000"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "DSM@rockymountaincare.brightreedirect.net",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "737 S 1300 E",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841023713",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Sarah Daft Assisting Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Scoville, PA-C
• Stephen Lamarr Scoville, APRN
• Scptr Wellness L.L.C.
• Kyle James Scranton
• Elise Scribner
• Mallory R Sdano, MS, LCGC
• SDS Dental LLC
• Hanna Seabaugh
• Paul R Seager, MD
• Sealants for Smiles

• 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 Aug 28, 2023; 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.