OrganizationActive
Caresource
NPI 1316490402 · Skilled Nursing Facility · Salt Lake City, UT
Caresource is a Skilled Nursing Facility organization in Salt Lake City, UT (NPI 1316490402).
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
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
1624 E 4500 S
Salt Lake City, UT 84117-4212
Phone: (801) 266-7200
Fax: (801) 266-7004
Street-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
Frequently asked questions
- What is Caresource's NPI number?
- Caresource's National Provider Identifier (NPI) is 1316490402, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Caresource?
- Caresource is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Caresource located?
- Caresource's practice location on file with NPPES is 1624 E 4500 S, Salt Lake City, UT 84117-4212.
- What is Caresource's phone number?
- The practice phone number listed in the NPPES registry for Caresource is (801) 266-7200.
- Who is the authorized official for Caresource?
- The authorized official listed on Caresource's NPPES record is Shawntel Tanner, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Caresource's NPI active?
- Yes — Caresource's NPI (1316490402) is active in the NPPES registry as of the last update on 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.