What is SUCCESSOR HEALTHCARE LLC's NPI number?

The NPI number assigned to this healthcare provider is 1619599503, enumerated as a organization on May 13, 2020.

Where is the provider located?

The provider is located at 451 E BISHOP FEDERAL LN SALT LAKE CITY, UT 84115 and the phone number is (801) 487-7557.

What is the provider's specialty?

The provider's specialty is Assisted Living Facility with taxonomy code 310400000X.

ST. JOSEPH INDEPENDENT LIVING - NPI 1619599503 - Assisted Living Facility in Salt Lake City, UT

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About St. Joseph Independent Living NPPES

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

ST. JOSEPH INDEPENDENT LIVING (NPI 1619599503) is a healthcare organization registered as an assisted living facility in Salt Lake City, Utah and active in the NPI registry since May 2020. The organization lists Soon Burnam, Treasurer, as its authorized official.

NPPES Registry Identity

NPI1619599503

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameSUCCESSOR HEALTHCARE LLC

Location Address451 E BISHOP FEDERAL LNSalt Lake City, UT 84115-2357

Mailing Address451 E Bishop Federal LnSalt Lake City, UT 84115-2357 · (801) 487-7557 · Fax (801) 487-1112

Phone(801) 487-7557

Fax(801) 487-1112

Organization SubpartNo

Authorized OfficialSoon BurnamTreasurer · (949) 540-1249

Enumeration DateMay 13, 2020

Last NPPES UpdateMay 20, 20202 updates tracked since enumeration

NPPES CertifiedMay 20, 2020

✔ NPI 1619599503 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.

451 E BISHOP FEDERAL LN, Salt Lake City, UT 84115

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