OrganizationActive
Caresource
NPI 1316490402 · Skilled Nursing Facility · Salt Lake City, UT
Provider details
- NPI number
- 1316490402
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Shawntel Tanner, Ceo(801) 266-7200
- License
- 2016-NCF-UT000747 (UT)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
1624 E 4500 S
Salt Lake City, UT 84117-4212
Phone: (801) 266-7200
Fax: (801) 266-7004
Approximate (ZIP-level) locationGet directions
Mailing address
1624 E 4500 S
Salt Lake City, UT 84117-4212
Other names (DBA / former)
- Doing business as
- Caresource Rehab and Supportive Care
Registry dates
- Enumerated
- 2016-07-26
- Last updated
- 2016-07-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.