Sugar House Care and Rehab, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

2008-NCF-114 Issued in UT

Legal business name

SUGAR HOUSE CARE AND REHAB, INC

Practice address

950 E 3300 S
Salt Lake City, UT 84106-2141

Phone

(801) 486-5121

Fax

(801) 486-5146

NPI assigned

Feb 10, 2009

Last updated

Feb 10, 2009By 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. William Scott Thomas

Title

Systems Administrator

Phone

(801) 296-5106

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1234224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234224000000",
    "number": "1730328055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 E 3300 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841062141",
            "telephone_number": "801-486-5121",
            "fax_number": "801-486-5146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 E 3300 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841062141",
            "telephone_number": "801-486-5121",
            "fax_number": "801-486-5146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUGAR HOUSE CARE AND REHAB, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-10",
        "last_updated": "2009-02-10",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "SYSTEMS ADMINISTRATOR",
        "authorized_official_telephone_number": "801-296-5106",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "UT",
            "license": "2008-NCF-114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "870636201004",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001989490",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dallin Sudbury
• Mary C Suelflow
• Samantha Miyuki Sueoka, PA-C
• Stephanie Kunie Sueoka, MPT, DPT, CHT
• Matthew S Suever
• Sugar House Dental Care
• Sugar House Dental Management LLC (The Sugar House Dentist)
• Sugarhouse Center Fo Healing
• Sugarhouse Dental Inc (Sleep Well Utah)
• Sugarhouse Foot Care Inc

• Skilled Nursing Facility in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Skilled Nursing Facility in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2009; 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.