Organization · Type 2 NPI

Caresource

Skilled Nursing Facility · Salt Lake City, UT

NPI number 1316490402 Active

Practice location

1624 E 4500 S
Salt Lake City, UT 84117-4212

Fax (801) 266-7004

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	2016-NCF-UT000747 (UT)

Skilled Nursing Facility: (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 r…

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About NPI 1316490402

Caresource's National Provider Identifier is 1316490402, issued on Jul 26, 2016. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Salt Lake City, UT. The record was last updated on Jul 26, 2016.