Successor Healthcare LLC
NPI 1255634879 · Skilled Nursing Facility · Salt Lake City, UT
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Successor Healthcare LLC is a Skilled Nursing Facility organization in Salt Lake City, UT (NPI 1255634879).
Provider details
- NPI number
- 1255634879
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Soon Burnam, Treasurer of Management Company(949) 540-1249
Specialties & taxonomies
Nursing & Custodial Care Facilities
- Assisted Living Facility310400000X
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- St. Joseph Villa
Registry dates
- Enumerated
- 2010-12-21
- Last updated
- 2016-06-03
Frequently asked questions
- What is Successor Healthcare LLC's NPI number?
- Successor Healthcare LLC's National Provider Identifier (NPI) is 1255634879, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Successor Healthcare LLC?
- Successor Healthcare LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Successor Healthcare LLC located?
- Successor Healthcare LLC's practice location on file with NPPES is 451 Bishop Federal Ln, Salt Lake City, UT 84115-2357.
- What is Successor Healthcare LLC's phone number?
- The practice phone number listed in the NPPES registry for Successor Healthcare LLC is (801) 487-7557.
- Does Successor Healthcare LLC accept Medicare?
- Successor Healthcare LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Successor Healthcare LLC?
- The authorized official listed on Successor Healthcare LLC's NPPES record is Soon Burnam, Treasurer of Management Company. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Successor Healthcare LLC's NPI active?
- Yes — Successor Healthcare LLC's NPI (1255634879) is active in the NPPES registry as of the last update on 2016-06-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.