Organization Active NPI

Utnv Wentworth at Cottonwood Heights, LLC

  • Assisted Living Facility
  • Salt Lake City, UT
National Provider Identifier
1952732307
Registry record updated Dec 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
2013-ALII-63901 Issued in UT
Legal business name
UTNV WENTWORTH AT COTTONWOOD HEIGHTS, LLC
Practice address
6895 S Whitmore Way
Salt Lake City, UT 84121-3003
Phone
(801) 943-3909
NPI assigned
Dec 11, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2013

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

Authorized official

Name
Kenneth Assiran
Title
Manager
Phone
(410) 769-5882

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 2013-ALII-63901 UT Primary

Addresses

Primary practice location

6895 S Whitmore Way
Salt Lake City, UT 84121-3003

Mailing address

1422 Clarkview Rd
Baltimore, MD 21209-2385

National Provider Directory

National Provider Directory

Locations

1422 Clarkview Rd
Baltimore, MD 21209

NPI Registry JSON

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

{
    "created_epoch": "1386720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387152000000",
    "number": "1952732307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1422 CLARKVIEW RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212092385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6895 S WHITMORE WAY",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841213003",
            "telephone_number": "801-943-3909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UTNV WENTWORTH AT COTTONWOOD HEIGHTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-11",
        "last_updated": "2013-12-16",
        "status": "A",
        "authorized_official_last_name": "ASSIRAN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "410-769-5882"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "UT",
            "license": "2013-ALII-63901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2013; 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.