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

Subtenant 1430 East 4500 South LLC

Organization Psychiatric Hospital · NPI 1629129689

Subtenant 1430 East 4500 South LLC is a Psychiatric Hospital in Salt Lake City, Utah. Licensed in Utah. Registered with an NPI since 2007.

Licensed in
UT
In the registry since
2007
Specialties on file
2
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

1430 E 4500 S
Salt Lake City, UT 84117-4208
Phone: (801) 272-8000
Fax: (801) 272-4983
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric Hospital (primary) Taxonomy 283Q00000X · Licence 2011-HOSP-100053 (UT)
Skilled Nursing Facility Taxonomy 314000000X (UT)

Record details

NPI number1629129689
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thomas Croal — Svp & Cfo · (949) 240-7200
Other names Aspen Park Rehabilitation
NPI enumeratedJanuary 16, 2007
Last updated in NPPESJuly 26, 2016
Mailing address6400 Oak Canyon, 200, Irvine, CA 92618-5233

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