SUBTENANT 1430 EAST 4500 SOUTH LLC (NPI# 1629129689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629129689 |
| Entity Type | Organization |
| Organization Name | SUBTENANT 1430 EAST 4500 SOUTH LLC |
| Other Organization Name | ASPEN PARK REHABILITATION |
| Practice Address |
1430 East 4500 South Salt Lake City UT 84117-4208 |
| Mailing Address |
6400 Oak Canyon 200 Irvine CA 92618-5233 |
| Practice Telephone | 8012728000 |
| Practice Fax Number | 8012724983 |
| Mailing Telephone | 9492407200 |
| Mailing Fax Number | 9492407270 |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2016-07-26 |
| Authorized Official Name | MR. THOMAS V CROAL (SVP & CFO) |
| Authorized Official Telephone | 9492407200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 314000000X | Skilled Nursing Facility | UT | Nursing & Custodial Care Facilities | |
| Y | 283Q00000X | Psychiatric Hospital | 2011-HOSP-100053 | UT | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | 911982083003 | 05 |
| Other Name | Type Code |
|---|---|
| Aspen Park Rehabilitation | Doing Business As Name - Organization |
| Street Address |
1430 EAST 4500 SOUTH |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84117-4208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457733073 | Jill Garcia | Physical Therapy Assistant | 1430 East 4500 South, Salt Lake City, UT 84117 | 2015-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063052256 | Abundant Dental Care, P.C. | Dentist | 1548 E 4500 S #104, Holladay, UT 84117 | 2020-01-15 |
| 1578127221 | Signature Utah Dental Partners PC | Clinic/Center | 2240 E Murray Holladay Rd, Holladay, UT 84117 | 2019-04-29 |
| 1700392974 | Marette Monson, LLC | Community/Behavioral Health | 2180 East 4500 South, Suite 105, Holladay City, UT 84117 | 2017-12-23 |
| 1942714639 | Harmon City Inc | Pharmacy | 4675 South Holladay Blvd, Holladay, UT 84117 | 2017-11-17 |
| 1881119444 | Brianna Stewart | Physical Medicine & Rehabilitation | 5151 South 900 East, Suite 100, Salt Lake City, UT 84117 | 2017-08-04 |
| 1861842874 | Whitney Aste | Dentist | 1548 E 4500 S Ste 104, Salt Lake City, UT 84117 | 2016-06-21 |
| 1922403765 | Tri-peak, Pllc | Psychologist | 4535 S 2300 E, Suite B, Salt Lake City, UT 84117 | 2014-10-22 |
| 1356689566 | Mckenzie Vierig | Marriage & Family Therapist | 4568 S Highland Dr Ste 380, Millcreek, UT 84117 | 2013-01-22 |
| 1821348640 | Fabiola Marquez Jamieson | Social Worker | 4500 S 2180 E, Suite 165, Holladay, UT 84117 | 2012-09-19 |
| 1073882882 | Amy Rose White | Social Worker | 4500 South 2180 East, Suite 165, Holladay, UT 84117 | 2011-12-22 |
| Find all providers in zip 84117 | ||||
| Taxonomy Code | 283Q00000X |
| Grouping | Hospitals |
| Classification | Psychiatric Hospital |
| An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
| Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518222496 | University Neuropsychiatric Institute | Psychiatric Hospital | 3789 S 700 W Apt 22, Salt Lake City, UT 84119-4164 | 2012-07-07 |
| 1740749415 | University of Utah | Psychiatric Hospital | 501 S Chipeta Way, Salt Lake City, UT 84108-1222 | 2019-03-13 |
| 1851880751 | Salt Lake Behavioral Health, LLC | Psychiatric Hospital | 3802 S 700 E, Salt Lake City, UT 84106-1182 | 2018-05-07 |
| 1104363159 | University of Utah Neuropsychiatric Institute | Psychiatric Hospital | 501 S Chipeta Way, Salt Lake City, UT 84108-1222 | 2017-01-29 |
| 1194102848 | Uni Home Program | Psychiatric Hospital | 650 S Komas, Suite 200, Salt Lake City, UT 84108 | 2015-05-01 |
| 1811317373 | Salt Lake Behavioral Health, LLC | Psychiatric Hospital | 3802 S 700 E, Salt Lake City, UT 84106-1182 | 2014-04-23 |
| 1053666883 | Salt Lake Behavioral Health | Psychiatric Hospital | 3802 S 700 E, Salt Lake City, UT 84106-1182 | 2012-07-18 |
| 1073878948 | University of Utah | Psychiatric Hospital | 501 E Chipeta Way, Salt Lake City, UT 84108-1222 | 2012-07-06 |
| 1295066116 | Salt Lake Behavioral Health, LLC | Psychiatric Hospital | 3802 South 700 East, Salt Lake City, UT 84106 | 2010-01-15 |
| 1184708919 | Christus Health Utah | Psychiatric Hospital | 451 Bishop Federal Ln, Salt Lake City, UT 84115-2357 | 2006-10-25 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84117 |
Please comment or provide details below to improve the information on SUBTENANT 1430 EAST 4500 SOUTH LLC.
| 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.