SOUTH JORDAN CARE GROUP LLC (NPI# 1881292936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881292936 |
| Entity Type | Organization |
| Organization Name | SOUTH JORDAN CARE GROUP LLC |
| Practice Address |
2664 W 11400 S South Jordan UT 84095-1229 |
| Mailing Address |
5101 Ne 82nd Ave Ste 200 Vancouver WA 98662-6343 |
| Practice Telephone | 8012600007 |
| Practice Fax Number | 8012600008 |
| Mailing Telephone | 3602549442 |
| Enumeration Date | 2020-10-12 |
| Last Update Date | 2020-10-12 |
| Authorized Official Name | MR. JOHN MCNEIL (COO) |
| Authorized Official Telephone | 3605429442 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311500000X | Alzheimer Center (Dementia Center) | Nursing & Custodial Care Facilities |
| Street Address |
2664 W 11400 S |
| City | SOUTH JORDAN |
| State | UT |
| Zip Code | 84095-1229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033745393 | Beverly Laraine Williams | Social Worker | 11260 S River Heights Drive, South Jordan, UT 84095 | 2020-03-19 |
| 1265902902 | Sarah Richele Kelley | Specialist/Technologist | 10236 Alder Grovey Way, South Jordan, UT 84095 | 2018-11-26 |
| 1326528837 | Kristi Couse | Massage Therapist | 10679 S 2200 W Apt 2, South Jordan, UT 84095 | 2018-08-15 |
| 1821516063 | River Crossing Dental Professional Corporation | Clinic/Center | 12427 South 4000 West, Suite #200, Riverton, UT 84095 | 2017-09-08 |
| 1245755719 | Staci Stout | Dental Hygienist | 3113 W Swiss Pass Cir, South Jordan, UT 84095 | 2017-08-07 |
| 1437698750 | Ryan Sears | Dentist | 10894 So. River Front Parkway, South Jordan, UT 84095 | 2017-02-20 |
| 1366989931 | Ultimate Sports Regenerative Medicine | Chiropractor | 1098 W. South Jordan Pkwy, Suite 101, South Jordan, UT 84095 | 2017-01-20 |
| 1306393889 | Tal Quirl | Optometrist | 3571 W. 10400 S., South Jordan, UT 84095 | 2016-09-01 |
| 1023562667 | Sevon Taroian | Social Worker | 11260 River Heights Drive, South Jordan, UT 84095 | 2016-08-11 |
| 1952762932 | Megan Buckley | Developmental Therapist | 881 Baxter Drive, Ste 100, South Jordan, UT 84095 | 2016-03-17 |
| Find all providers in zip 84095 | ||||
| Taxonomy Code | 311500000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Alzheimer Center (Dementia Center) |
| A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer’s Disease or their related diseases. Six elements of the facility/unit set it apart from other (the rest of the) facilities(y): Admission of residents with dementia (including those with Alzheimer's disease); Staff who are specially selected, trained, and supervised; Activities that are specifically designed for the cognitively impaired; A marketing of a special care unit in brochures; A high level of family involvement; and A physical environment designed to keep residents safe and segregated from other populations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891393930 | Sh1 Barrington Place LLC | Alzheimer Center (Dementia Center) | 1404 N 2000 W, Clinton, UT 84015-8364 | 2020-10-12 |
| 1144875766 | Picnic Creek LLC | Alzheimer Center (Dementia Center) | 1407 S 2000 W, Syracuse, UT 84075-6935 | 2019-08-09 |
| 1124565619 | Ms - Ac Sunbrook Senior Living LLC | Alzheimer Center (Dementia Center) | 359 N Dixie Dr, St George, UT 84770-7039 | 2017-01-23 |
| 1164876041 | Grizzly Peak Assisted Living, LLC | Alzheimer Center (Dementia Center) | 126 W 1550 S, Perry, UT 84302-4277 | 2016-04-18 |
| 1013308071 | Autumn Care Living Center | Alzheimer Center (Dementia Center) | 290 East 4000 North, Hyde Park, UT 83286 | 2015-02-12 |
| 1477958353 | Chp Layton Ut Tenant Corp. | Alzheimer Center (Dementia Center) | 1201 N Fairfield Rd, Layton, UT 84041-8321 | 2014-11-04 |
| 1013285683 | Spring Gardens At Red Cliffs Lc | Alzheimer Center (Dementia Center) | 2654 East Red Cliffs Drive, Spring Gardens Senior Living, St George, UT 84790 | 2011-12-09 |
| 1881866499 | Legacy Village Healthcare LLC | Alzheimer Center (Dementia Center) | 5472 S 3200 W, Taylorsville, UT 84129-7804 | 2008-03-24 |
| 1972621456 | St George Senior Living LLC | Alzheimer Center (Dementia Center) | 134 W 2025 South Circle, Saint George, UT 84770-8741 | 2007-03-26 |
| 1639296429 | Emerald Pointe Assisted Living & Memory Care LLC | Alzheimer Center (Dementia Center) | 995 South Regency Road, Cedar City, UT 84720-1848 | 2007-03-25 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH JORDAN |
| Zip Code | 84095 |
Please comment or provide details below to improve the information on SOUTH JORDAN CARE GROUP 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.