ASPEN PARK REHABILITATION
NPI 1629129689
Psychiatric Hospital in Salt Lake City, UT

Active since January 16, 2007
1430 EAST 4500 SOUTH, SALT LAKE CITY, UT 84117(801) 272-8000(801) 272-4983 Get Directions Write a Review

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

About Aspen Park Rehabilitation NPPES

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

ASPEN PARK REHABILITATION (NPI 1629129689) is a healthcare organization registered as a psychiatric hospital in Salt Lake City, Utah and active in the NPI registry since January 2007. The organization lists Thomas V Croal, Svp & Cfo, as its authorized official.

NPPES Registry Identity

NPI1629129689
Entity TypeOrganization
Primary Taxonomy283Q00000X
Legal Business NameSUBTENANT 1430 EAST 4500 SOUTH LLC
Location Address1430 EAST 4500 SOUTHSalt Lake City, UT 84117-4208
Mailing Address6400 Oak Canyon, 200Irvine, CA 92618-5233 · (949) 240-7200 · Fax (949) 240-7270
Fax(801) 272-4983
Organization SubpartNo
Authorized OfficialThomas V CroalSvp & Cfo · (949) 240-7200
Enumeration DateJanuary 16, 2007
Last NPPES UpdateJuly 26, 2016
NPI 1629129689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatric HospitalHospitals
Taxonomy Code283Q00000X
License Licensed in UT · 2011-HOSP-100053
Definition
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.
Also ListedSkilled Nursing FacilityTaxonomy 314000000X
1430 EAST 4500 SOUTH, Salt Lake City, UT 84117

Other Names 1

Doing Business AsAspen Park Rehabilitation

Other Identifiers 4

Medicare PIN46-5162UT
Medicaid911982083003UT
Medicare OSCAR/certification465162UT
Medicare UPIN911982083UT

Other Providers at the Same Location NPPES

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

Physical Therapy Assistant
1430 EAST 4500 SOUTH
SALT LAKE CITY, 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 Subtenant 1430 East 4500 South LLC's NPI number?

The NPI number for Subtenant 1430 East 4500 South LLC is 1629129689. It was assigned to this organization in the NPPES registry on January 16, 2007. The provider is doing business as Aspen Park Rehabilitation.

Where is Subtenant 1430 East 4500 South LLC located?

Subtenant 1430 East 4500 South LLC is located at 1430 East 4500 South, Salt Lake City, UT 84117. The listed phone number is (801) 272-8000.

What is Subtenant 1430 East 4500 South LLC's specialty?

The primary specialty registered for this NPI is Psychiatric Hospital with taxonomy code 283Q00000X.

When was this NPI record last updated?

The NPPES record for Subtenant 1430 East 4500 South LLC 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.