Aspen Park Rehabilitation
LBN: Subtenant 1430 East 4500 South Llc
Aspen Park Rehabilitation is an health care organization with primary practice located at 1430 East 4500 South , Salt Lake City UT 84117-4208. The organization recently has 2 registered licenses in different health care specialties including Hospitals / Psychiatric Hospital, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Hospitals / Psychiatric Hospital is the primary health care specialty.
Subtenant 1430 East 4500 South Llc can be contacted via phone (801) 272-8000, or through Croal, Thomas V via phone (949) 240-7200.
Contact Information
Primary practice address
1430 East 4500 South
Salt Lake City UT 84117-4208
Phone: (801) 272-8000
Fax: (801) 272-4983
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Hospitals / Psychiatric Hospital | 283Q00000X | 2011-HOSP-100053 | Utah |
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | Utah |
Profile Details
| NPI number | 1629129689 |
|---|---|
| LBN Legal business name | Subtenant 1430 East 4500 South Llc |
| DBA Doing business as | Aspen Park Rehabilitation |
| Authorized official | Croal, Thomas V |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 16th, 2007 |
| Last updated | Jul 26th, 2016 - about 10 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629129689 | NPPES |
| Utah | MEDICAID | 911982083003 |
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