ENCORE SENIOR LIVING II, LLC (NPI# 1033317078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033317078 |
Entity Type | Organization |
Organization Name | ENCORE SENIOR LIVING II, LLC |
Practice Address |
777 E 3900 S Salt Lake City UT 84107-2199 |
Mailing Address |
6400 Se Lake Rd Suite 400 Milwaukie OR 97222-2129 |
Practice Telephone | 8012880700 |
Practice Fax Number | 8012882777 |
Mailing Telephone | 5039053300 |
Mailing Fax Number | 5039053333 |
Enumeration Date | 2007-07-10 |
Last Update Date | 2007-10-09 |
Authorized Official Name | MR. BRUCE ALEXANDER SCHOEN (EX VICE PRESIDENT/CFO) |
Authorized Official Telephone | 5039053347 |
Is Organization Subpart | Y |
Parent Organization Name | ENCORE SENIOR LIVING, LLC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 310400000X | Assisted Living Facility | 2006-ALI-841 | UT | Nursing & Custodial Care Facilities |
Street Address |
777 E 3900 S |
City | SALT LAKE CITY |
State | UT |
Zip Code | 84107-2199 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801295894 | Extended Care Portfolio Multistate Pool Tenant, LLC | Assisted Living Facility | 777 E 3900 S, Salt Lake City, UT 84107-2199 | 2014-08-15 |
1235327875 | Encore Senior Living, LLC | Assisted Living Facility | 777 E 3900 S, Salt Lake City, UT 84107-2199 | 2007-10-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902410517 | Brielle Nicole Poulter | Student in an Organized Health Care Education/Training Program | 345 East 4500 So #260, Murray, UT 84107 | 2020-09-01 |
1467016592 | Ashlee Brown | Social Worker | C-134, 5284 Commerce Drive, Murray, Murray, UT 84107 | 2019-04-24 |
1568940633 | Samantha Duff | Occupational Therapist | 5770 S Fashion Blvd, Bldg 5 Ste 201, Murray, UT 84107 | 2018-08-01 |
1881185247 | Derek John Sharp | Occupational Therapist | 5770 S Fashion Blvd, Bldg #5, Suite 210, Murray, UT 84107 | 2018-05-22 |
1093223091 | Erin Nicole Hill | Counselor | 345 East 4500 South Suite 260, Murray, UT 84107 | 2018-01-12 |
1588171219 | Nicole Danielle Jensen | Counselor | 345 East 4500 South, Suite 260, Murray, UT 84107 | 2018-01-03 |
1043725799 | Greater Endodontics LLC | Dentist | 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 | 2017-12-04 |
1043739667 | Karyn K Hodge | Audiologist | 4500 So. 777. E. Ste #110, Murray, UT 84107 | 2017-09-14 |
1912426750 | Brandon C Burton | Specialist/Technologist, Other | Cta Community Supports 4444 S, 700 E Suite 203, Salt Lake City, UT 84107 | 2017-09-13 |
1396261152 | Megan Lehane Delano | Plastic Surgery | 5169 Cottonwood St Ste 420, Murray, UT 84107 | 2017-08-14 |
Find all providers in zip 84107 |
Taxonomy Code | 310400000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Assisted Living Facility |
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629616867 | Salisbury Assisted Living, LLC | Assisted Living Facility | 574 E 100 S, Salt Lake City, UT 84102-1905 | 2019-12-18 |
1396210233 | All Seasons Health Services Company | Assisted Living Facility | 2891 S 2000 E, Salt Lake City, UT 84109-1936 | 2018-10-08 |
1730687096 | Sssht Opco 1245 E Murray Holladay Road LLC | Assisted Living Facility | 1245 E Murray Holladay Rd, Salt Lake City, UT 84117-4992 | 2018-01-31 |
1831579952 | Rosewood Assisted Care Inc | Assisted Living Facility | 1108 E Belle Meadows Way, Salt Lake City, UT 84121-1730 | 2015-06-03 |
1427454107 | Metsun Highland Slc Ut Senior Living, LLC | Assisted Living Facility | 4650 S Highland Dr, Salt Lake City, UT 84117-7064 | 2014-11-07 |
1952732307 | Utnv Wentworth At Cottonwood Heights, LLC | Assisted Living Facility | 6895 S Whitmore Way, Salt Lake City, UT 84121-3003 | 2013-12-11 |
1659624278 | Chateau Brickyard Management LLC | Assisted Living Facility | 3080 S Richmond St, Salt Lake City, UT 84106-3000 | 2012-10-19 |
1629343082 | Beehive At East Millcreek, LLC | Assisted Living Facility | 3681 S 2300 E, Salt Lake City, UT 84109-3418 | 2012-03-19 |
1578850590 | Cottonwood Creek Msl, LLC | Assisted Living Facility | 1245 Murray Holladay Rd, Salt Lake City, UT 84117-4992 | 2011-06-29 |
1205131091 | Hennefer's Home for The Elderly | Assisted Living Facility | 1200 E 4500 S, Salt Lake City, UT 84117-4127 | 2011-01-25 |
Find all providers in SALT LAKE CITY |
City | SALT LAKE CITY |
Zip Code | 84107 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.