CARESOURCE REHAB AND SUPPORTIVE CARE
NPI 1316490402
Skilled Nursing Facility in Salt Lake City, UT

Active since July 26, 2016
1624 E 4500 S, SALT LAKE CITY, UT 84117(801) 266-7200(801) 266-7004 Get Directions Write a Review

NPPES record last updated: July 26, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Caresource Rehab And Supportive Care NPPES

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

CARESOURCE REHAB AND SUPPORTIVE CARE (NPI 1316490402) is a healthcare organization registered as a skilled nursing facility in Salt Lake City, Utah and active in the NPI registry since July 2016. The organization lists Shawntel Tanner, Ceo, as its authorized official.

NPPES Registry Identity

NPI1316490402
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCARESOURCE
Location Address1624 E 4500 SSalt Lake City, UT 84117-4212
Mailing Address1624 E 4500 SSalt Lake City, UT 84117-4212 · (801) 266-7200 · Fax (801) 266-7004
Fax(801) 266-7004
Organization SubpartNo
Authorized OfficialShawntel TannerCeo · (801) 266-7200
Enumeration DateJuly 26, 2016
NPI 1316490402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in UT · 2016-NCF-UT000747
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
1624 E 4500 S, Salt Lake City, UT 84117

Other Names 1

Doing Business AsCaresource Rehab And Supportive Care

Other Providers at the Same Location NPPES 6

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

Family Medicine (Hospice and Palliative Medicine)
1624 E 4500 S
SALT LAKE CITY, UT 84117
Marriage & Family Therapist
1624 E 4500 S
MILLCREEK, UT 84117
Hospice Care, Community Based
1624 E 4500 S
SALT LAKE CITY, UT 84117
Hospice, Inpatient
1624 E 4500 S
SALT LAKE CITY, UT 84117
Internal Medicine (Hospice and Palliative Medicine)
1624 E 4500 S
HOLLADAY, UT 84117
Psychiatric Hospital
1624 E 4500 S
MILLCREEK, UT 84117

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 Caresource's NPI number?

The NPI number for Caresource is 1316490402. It was assigned to this organization in the NPPES registry on July 26, 2016. The provider is doing business as Caresource Rehab And Supportive Care.

Where is Caresource located?

Caresource is located at 1624 E 4500 S, Salt Lake City, UT 84117. The listed phone number is (801) 266-7200.

What is Caresource's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

When was this NPI record last updated?

The NPPES record for Caresource was last updated on July 26, 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.