ST. JOSEPH VILLA
NPI 1255634879
Skilled Nursing Facility in Salt Lake City, UT
About St. Joseph Villa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ST. JOSEPH VILLA (NPI 1255634879) is a healthcare organization registered as a skilled nursing facility in Salt Lake City, Utah and active in the NPI registry since December 2010. The organization holds a CLIA Waiver certificate valid through October 19, 2026 and lists Soon Burnam, Treasurer Of Management Company, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 46D2196926
St Joseph Villa Assisted Living · Salt Lake City, UTOther Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SALT LAKE CITY, UT 84115
SALT LAKE CITY, UT 84115
SALT LAKE CITY, UT 84115
SALT LAKE CITY, UT 84115
SALT LAKE CITY, UT 84115
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 Successor Healthcare LLC's NPI number?
The NPI number for Successor Healthcare LLC is 1255634879. It was assigned to this organization in the NPPES registry on December 21, 2010. The provider is doing business as St. Joseph Villa.
Where is Successor Healthcare LLC located?
Successor Healthcare LLC is located at 451 Bishop Federal Ln, Salt Lake City, UT 84115. The listed phone number is (801) 487-7557.
What is Successor Healthcare LLC's specialty?
The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.
Does Successor Healthcare LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 46D2196926) is associated with this NPI, valid through October 19, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Successor Healthcare LLC was last updated on June 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.