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SUCCESSOR HEALTHCARE LLC NPI 1144526997


NPI Information

NPI: 1144526997
Provider Name: SUCCESSOR HEALTHCARE LLC

Doing Business As: MARIAN CENTER

Classification: Psychiatric Unit - 273R00000X
Entity Type: Organization

CLIA Number: 46D0524152

Address:
451 EAST BISHOP FEDERAL LANE
SALT LAKE CITY, UT
ZIP 84115
Phone: (801) 468-6856
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SUCCESSOR HEALTHCARE LLC is a psychiatric unit in Salt Lake City, UT. The provider is in general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. SUCCESSOR HEALTHCARE LLC NPI is 1144526997. The provider is registered as an organization entity type.
The provider Is Doing Business As Marian Center.

The provider's business location address is:

451 EAST BISHOP FEDERAL LANE
SALT LAKE CITY, UT
ZIP 84115-357
Phone: (801) 468-6856
Fax: (801) 468-6850

The provider's authorized official is Soon Burnam .
The authorized official title is Treasurer and has the following contact phone number (949) 540-1249.

The CLIA number assigned to this NPI record is 46D0524152 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/26/2011 and was last updated on 12/3/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1273R00000XPsychiatric UnitUTAHYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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