Infinia at Alta

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1999NCF352 Issued in UT

Legal business name

INFINIA AT ALTA

Practice address

4035 S 500 E
Salt Lake City, UT 84107-1866

Phone

(801) 262-9181

Fax

(801) 262-1608

NPI assigned

Jun 28, 2005

Last updated

Aug 22, 2020By 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. Scott Robertson

Title

Owner

Phone

(801) 295-8000

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750387346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4035 S 500 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841071866",
            "telephone_number": "801-262-9181",
            "fax_number": "801-262-1608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4035 S 500 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841071866",
            "telephone_number": "801-262-9181",
            "fax_number": "801-262-1608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINIA AT ALTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-295-8000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "UT",
            "license": "1999NCF352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "870615300001",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• 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 Aug 22, 2020; 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.