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PHEASANT VIEW ASSISTED LIVING LLC NPI 1639468507


NPI Information

NPI: 1639468507
Provider Name: PHEASANT VIEW ASSISTED LIVING, LLC
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 46D2199567

Address:
1242 E PHEASANT VIEW DRIVE
LAYTON, UT
ZIP 84041
Phone: (801) 546-4100
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PHEASANT VIEW ASSISTED LIVING, LLC is an assisted living facility in Layton, UT. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. PHEASANT VIEW ASSISTED LIVING, LLC NPI is 1639468507. The provider is registered as an organization entity type.

The provider's business location address is:

1242 E PHEASANT VIEW DRIVE
LAYTON, UT
ZIP 84041-423
Phone: (801) 546-4100
Fax: (801) 927-1036

The provider's authorized official is Eric C Martz .
The authorized official title is Director, Managing Member and has the following contact phone number (801) 546-4100.

The CLIA number assigned to this NPI record is 46D2199567 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/31/2011 and was last updated on 3/31/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living Facility2011-ALII-99476UTAHYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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