Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

EDGEWOOD SLC UT02 LLC
NPI 1053245738
Assisted Living Facility in Salt Lake City, UT

Q: What is Edgewood Slc Ut02 LLC's NPI number?

The NPI number for Edgewood Slc Ut02 LLC is 1053245738. It was assigned to this organization in the NPPES registry on June 9, 2026. The provider is also known as Spring Gardens Oquirrh Mountain.

Q: What is Edgewood Slc Ut02 LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Active since June 09, 2026

5524 W 6200 S, SALT LAKE CITY, UT 84118(801) 840-4600 Get Directions Write a Review

NPPES record added: June 11, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Edgewood Slc Ut02 Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDGEWOOD SLC UT02 LLC (NPI 1053245738) is a healthcare organization registered as an assisted living facility in Salt Lake City, Utah and active in the NPI registry since June 2026. The organization lists John Dybwad, Vp Finance/budget, as its authorized official.

NPPES Registry Identity

NPI1053245738

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameEDGEWOOD SLC UT02 LLC

Location Address5524 W 6200 SSalt Lake City, UT 84118-7927

Mailing AddressPo Box 13238Grand Forks, ND 58208-3238 · (701) 738-2000

Phone(801) 840-4600

Organization SubpartNo

Authorized OfficialJohn DybwadVp Finance/budget · (701) 738-2000

Enumeration DateJune 9, 2026

Last NPPES UpdateJune 11, 2026

NPPES CertifiedJune 11, 2026

✔ NPI 1053245738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

Definition

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.

5524 W 6200 S, Salt Lake City, UT 84118

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Other Names 1

Other NameSpring Gardens Oquirrh Mountain

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KEARNS SENIOR LIVING, LLC

Assisted Living Facility

5524 W 6200 S
SALT LAKE CITY, UT 84118

Salt Lake County (801) 840-4600

SUMMIT SENIOR LIVING LLC

Preferred Provider Organization

5524 W 6200 S
KEARNS, UT 84118

Salt Lake County (801) 520-3391

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edgewood Slc Ut02 LLC's NPI number?

The NPI number for Edgewood Slc Ut02 LLC is 1053245738. It was assigned to this organization in the NPPES registry on June 9, 2026. The provider is also known as Spring Gardens Oquirrh Mountain.

Where is Edgewood Slc Ut02 LLC located?

Edgewood Slc Ut02 LLC is located at 5524 W 6200 S, Salt Lake City, UT 84118. The listed phone number is (801) 840-4600.

What is Edgewood Slc Ut02 LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Edgewood Slc Ut02 LLC was last updated on June 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 59 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.