S-H Opco Salt Lake City, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

S-H OPCO SALT LAKE CITY, LLC

Practice address

76 S 500 E
Salt Lake City, UT 84102-1044

Phone

(801) 359-0050

Fax

(801) 359-0080

NPI assigned

Sep 20, 2010

Organization subpart

Yes

Parent organization

BROOKDALE SENIOR LIVING INC.As reported in NPPES

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

Authorized official

Name

Mr. Mark W Ohlendorf

Title

President

Phone

(414) 918-5000

Specialties & licenses 1

Addresses

Other names 1

• Emeritus at Salt Lake City Doing business as

Tax ID family

Emericare Inc2 organizations share this tax ID, including this one

Part of

Brookdale Senior Living Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• S-H Opco Salt Lake City, LLC

  • Assisted Living Facility
  • Salt Lake City, UT
  • NPI 1023427143
  NPD tax ID

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

{
    "created_epoch": "1284940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425254400000",
    "number": "1891003182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 S 500 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841021044",
            "telephone_number": "801-359-0050",
            "fax_number": "801-359-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 S 500 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841021044",
            "telephone_number": "801-359-0050",
            "fax_number": "801-359-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S-H OPCO SALT LAKE CITY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BROOKDALE SENIOR LIVING INC.",
        "enumeration_date": "2010-09-20",
        "last_updated": "2015-03-02",
        "status": "A",
        "authorized_official_last_name": "OHLENDORF",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-918-5000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "UT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emeritus at Salt Lake City",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Audra Rysevas
• Darin T. Ryujin, PA
• S Dwayne Roberts MD LLC
• S-H Opco Salt Lake City, LLC
• S-H Opco Salt Lake City, LLC
• Shauna Sa'U, LPN
• Kathryn Mae Saad
• Kristen M. Saad, MD
• Maarouf Ahmad Saad, MD
• Amelia Saafi

• 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 Mar 2, 2015; 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.