SUMMIT SENIOR LIVING LLC (NPI# 1780037879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780037879 |
| Entity Type | Organization |
| Organization Name | SUMMIT SENIOR LIVING LLC |
| Practice Address |
5524 W 6200 S Kearns UT 84118-7925 |
| Mailing Address |
201 Ne Park Plaza Dr Ste 105 Vancouver WA 98684-5874 |
| Practice Telephone | 8015203391 |
| Enumeration Date | 2016-07-13 |
| Last Update Date | 2016-07-13 |
| Authorized Official Name | RONALD ZIEBART (MANAGER) |
| Authorized Official Telephone | 5033634636 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | 2016ALIIUT000744 | UT | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | 5524 | 05 |
| Street Address |
5524 W 6200 S |
| City | KEARNS |
| State | UT |
| Zip Code | 84118-7925 |
| 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 | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
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| 1578928172 | Sugar House Dental Management LLC | Preferred Provider Organization | 1955 S 1300 E Ste L2, Salt Lake City, UT 84105-3675 | 2015-12-23 |
| 1790152551 | Helping Hands In-home Care LLC | Preferred Provider Organization | 690 N 3900 W, Cedar City, UT 84721-8130 | 2015-08-27 |
| 1841687126 | Intrafilrx | Preferred Provider Organization | 3920 S 1100 E Ste 210, Salt Lake City, UT 84124 | 2015-04-23 |
| 1407261506 | Utah Facial & Oral Surgery | Preferred Provider Organization | 3473 W South Jordan Pkwy, #4, South Jordan, UT 84095-6015 | 2014-06-26 |
| 1972928760 | Heros for Independent Living | Preferred Provider Organization | 655 Medical Dr, Suite 103, Bountiful, UT 84010-5168 | 2014-03-03 |
| 1316172596 | The Tooth Doctor | Preferred Provider Organization | 2180 E Fort Union Blvd., Salt Lake City, UT 84121 | 2009-05-18 |
| 1265677678 | Edward K. Madsen, M.d., A Professional Corporation | Preferred Provider Organization | 590 E 100 N Ste 4, Price, UT 84501-2600 | 2008-12-14 |
| Find all providers with the same taxonomy | ||||
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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.