Provider Demographics
NPI:1376601740
Name:SENIOR MANAGEMENT CONCEPTS
Entity Type:Organization
Organization Name:SENIOR MANAGEMENT CONCEPTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:
Authorized Official - Last Name:ERISSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-233-9800
Mailing Address - Street 1:1245 MURRAY HOLLADAY RD
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84117-4992
Mailing Address - Country:US
Mailing Address - Phone:702-233-9800
Mailing Address - Fax:702-233-8899
Practice Address - Street 1:1245 EAST MURRAY-HOLLADAY ROAD
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84117
Practice Address - Country:US
Practice Address - Phone:801-263-0999
Practice Address - Fax:801-262-4770
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility