South Jordan Care Group LLC

Primary specialty

Alzheimer Center (Dementia Center)Taxonomy code 311500000X

Legal business name

SOUTH JORDAN CARE GROUP LLC

Practice address

2664 W 11400 S
South Jordan, UT 84095-1229

Phone

(801) 260-0007

Fax

(801) 260-0008

NPI assigned

Oct 12, 2020

Organization subpart

No

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

Authorized official

Name

Mr. John McNeil

Title

Coo

Phone

(360) 542-9442

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1602460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602460800000",
    "number": "1881292936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5101 NE 82ND AVE STE 200",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626343",
            "telephone_number": "360-254-9442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2664 W 11400 S",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840951229",
            "telephone_number": "801-260-0007",
            "fax_number": "801-260-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH JORDAN CARE GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-12",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A",
        "authorized_official_last_name": "MCNEIL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "360-542-9442",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryan Vern Sonntag, MD
• Nicole Elise Sorensen
• Sherry Sorensen, ACMHC
• Karli Sorenson
• Guillermo Soto
• South Jordan Chiropractic, LLC
• South Jordan PDC PLLC
• South Mountain Dialysis, LLC
• South Point Counseling Services, LLC
• South Valley Orthomed, PLLC

• Alzheimer Center (Dementia Center) in South Jordan, UT
• Providers in South Jordan, UT by specialty
• Alzheimer Center (Dementia Center) in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.