MEDICARE: INFINIA AT GRANITE HILLS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility	1999NCF114	UT

General Provider Information

NPI Number	:	1326044959
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INFINIA AT GRANITE HILLS

Provider Business Mailing Address
First Line	:	950 E 3300 S
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84106-2141
Country	:	US
Telephone Number	:	801-295-8000
Fax Number	:	801-486-5146

Provider Business Practice Location Address
First Line	:	950 E 3300 S
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84106-2141
Country	:	US
Telephone Number	:	801-295-8000
Fax Number	:	801-486-5146

Authorized Official
Title or Position	:	OWNER
Name	:	SCOTT ROBERTSON
Credential	:
Telephone Number	:	801-295-8000

Provider Enumeration Date	:	06/28/2005
Last Update Date	:	08/22/2020

Similar Medicare Providers

1730328055 — SUGAR HOUSE CARE AND REHAB, INC
Practice Location Address:

950 E 3300 S
SALT LAKE CITY, UT
84106-2141

Practice Phone: 801-486-5121
Practice Fax: 801-486-5146

1023311362 — DESERET CARE CENTER LLC
Practice Location Address:

950 E 3300 S
SALT LAKE CITY, UT
84106-2141

Practice Phone: 801-486-5121
Practice Fax:

1114371564 — 3300 SOUTH OPERATING LLC
Practice Location Address:

950 E 3300 S
SALT LAKE CITY, UT
84106-2141

Practice Phone: 801-467-0060
Practice Fax:

1598416349 — KAELEA ROSE WAGAMAN-HASSELSTROM ALSUDC
Practice Location Address:

950 E 3300 S
SALT LAKE CITY, UT
84106-2141

Practice Phone: 801-359-8862
Practice Fax:

1588235972 — MRS. SYDNEY SALOME SHULTZ LCSW
Practice Location Address:

950 E 3300 S
MILLCREEK, UT
84106-2141

Practice Phone: 385-500-4141
Practice Fax:

1851374748 — WEST CARROLL HEALTH SYSTEMS LLC
Practice Location Address:

319 N HOOD ST
LAKE PROVIDENCE, LA
71254-2141

Practice Phone: 318-559-1221
Practice Fax: 318-559-3321

Directions to “INFINIA AT GRANITE HILLS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.