Healthcare Provider Details

I. General information

NPI: 1467324962
Provider Name (Legal Business Name): SARSEN HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2025
Last Update Date: 09/23/2025
Certification Date: 09/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

435 W CENTER ST
OREM UT
84057-5336
US

IV. Provider business mailing address

435 W CENTER ST
OREM UT
84057-5336
US

V. Phone/Fax

Practice location:
  • Phone: 801-850-5454
  • Fax: 801-850-5406
Mailing address:
  • Phone: 801-850-5454
  • Fax: 801-850-5406

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: SOON BURNAM
Title or Position: SECRETARY
Credential:
Phone: 949-540-1249