Organization Active NPI

CC Senior Living LLC

  • Assisted Living Facility (Mental Illness)
  • Cedar City, UT
National Provider Identifier
1871373878
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
Legal business name
CC SENIOR LIVING LLC
Practice address
432 W 1325 N
Cedar City, UT 84721-7720
Phone
(435) 867-8641
Fax
(435) 867-1578
NPI assigned
Oct 5, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2023

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

Authorized official

Name
Jeffrey Merchant
Title
Sole Member
Phone
(801) 834-3039

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X Primary

Addresses

Primary practice location

432 W 1325 N
Cedar City, UT 84721-7720

Mailing address

1011 S 1200 E
Salt Lake City, UT 84105-1524
Phone (801) 834-3039

Other names 1

  • All Seasons Senior Living of Cedar City Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
46D2199059CC Senior Living LLC432 W 1325 N, Cedar City, UT 84721Certificate of waiverNov 4, 2026

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1696464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696464000000",
    "number": "1871373878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 S 1200 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841051524",
            "telephone_number": "801-834-3039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "432 W 1325 N",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847217720",
            "telephone_number": "435-867-8641",
            "fax_number": "435-867-1578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CC SENIOR LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-05",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A",
        "authorized_official_last_name": "MERCHANT",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "801-834-3039"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "All Seasons Senior Living of Cedar City",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cedar City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.