Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Caresource

Organization Skilled Nursing Facility · NPI 1316490402

Caresource is a Skilled Nursing Facility in Salt Lake City, Utah. Licensed in Utah. Registered with an NPI since 2016.

Licensed in
UT
In the registry since
2016

Practice location Address checks out

1624 E 4500 S
Salt Lake City, UT 84117-4212
Phone: (801) 266-7200
Fax: (801) 266-7004
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X · Licence 2016-NCF-UT000747 (UT)

Record details

NPI number1316490402
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shawntel Tanner — Ceo · (801) 266-7200
Other names Caresource Rehab And Supportive Care
NPI enumeratedJuly 26, 2016
Last updated in NPPESJuly 26, 2016
Mailing address1624 E 4500 S, Salt Lake City, UT 84117-4212

Other providers in Salt Lake City