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

Edgewood Slc UT02 LLC

Organization Assisted Living Facility · NPI 1053245738

Edgewood Slc UT02 LLC is an Assisted Living Facility in Salt Lake City, Utah. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5524 W 6200 S
Salt Lake City, UT 84118-7927
Phone: (801) 840-4600
Show map & directions

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

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X

Record details

NPI number1053245738
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Dybwad — Vp Finance/Budget · (701) 738-2000
Other names Spring Gardens Oquirrh Mountain
NPI enumeratedJune 9, 2026
Last updated in NPPESJune 11, 2026
Certification dateJune 11, 2026
Mailing addressPo Box 13238, Grand Forks, ND 58208-3238

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