KEARNS SENIOR LIVING, LLC (NPI# 1275007858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275007858 |
| Entity Type | Organization |
| Organization Name | KEARNS SENIOR LIVING, LLC |
| Practice Address |
5524 W 6200 S Salt Lake City UT 84118-7927 |
| Mailing Address |
2020 W Rudasill Rd Tucson AZ 85704-7800 |
| Practice Telephone | 8018404600 |
| Enumeration Date | 2019-01-16 |
| Last Update Date | 2019-01-16 |
| Authorized Official Name | DAVID FRESHWATER (AUTHORIZED SIGNATORY) |
| Authorized Official Telephone | 5207974000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | 2018-ALI-UT000744 | 05 |
| Other Name | Type Code |
|---|---|
| Summit Senior Living | Doing Business As Name - Organization |
| Street Address |
5524 W 6200 S |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84118-7927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225527500 | Hoan K Doan | Case Manager/Care Coordinator | 3809 West 6200 South, Kearns, UT 84118 | 2018-05-02 |
| 1750664785 | Giao L Tran | Pharmacist | 5586 W 6200 S, Slc, UT 84118 | 2011-09-26 |
| 1982913406 | Brent James Seely | Counselor | 5934 S 8400 W, Kearns, UT 84118 | 2010-10-01 |
| 1558593830 | Easterseals-goodwill Northern Rocky Mountain, Inc. | Early Intervention Provider Agency | 5242 South 4820 West, Att Janet Wade, Kearns, UT 84118 | 2009-08-20 |
| 1063643120 | Phung Matthews | Pharmacist | 1837 West 4700 South, Taylorsville, UT 84118 | 2009-08-06 |
| 1689824963 | Mary Candace Christensen | Social Worker | 3703 West 6200 South, Valley Mental Health Artec - Therapeutic Foster Care, Bennion, UT 84118 | 2008-09-24 |
| 1164695128 | Life's Endeavour | Chiropractor | 2494 West Sharron Drive, Taylorsville, UT 84118 | 2008-04-10 |
| 1750585485 | Wendy Kay Cotting | Pediatrics | Taylorsville Kidscare, 3845 W. 4700 S., Taylorsville, UT 84118 | 2007-06-14 |
| 1720102841 | Wendy Lee Bingham | Physical Therapist | 3845 W. 4700 S., Ihc Taylorsville Health Center, Taylorsville, UT 84118 | 2007-03-16 |
| 1417028952 | Terry Milo Hansen | Optometrist | 2828 West 4700 South, Suite D, West Valley City, UT 84118 | 2006-11-13 |
| Find all providers in zip 84118 | ||||
| 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 | 84118 |
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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.