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S-H ASHFORD OPCO LLC NPI 1073988473


NPI Information

NPI: 1073988473
Provider Name: S-H ASHFORD OPCO LLC

Doing Business As: HIGHLAND GLEN

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 46D2196707

Address:
10322 N 4800 W
HIGHLAND, UT
ZIP 84003
Phone: (801) 610-3500
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S-H ASHFORD OPCO LLC is an assisted living facility in Highland, 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. S-H ASHFORD OPCO LLC NPI is 1073988473. The provider is registered as an organization entity type.
The provider Is Doing Business As Highland Glen.

The provider's business location address is:

10322 N 4800 W
HIGHLAND, UT
ZIP 84003-965
Phone: (801) 610-3500

The provider's authorized official is Kent Crandal .
The authorized official title is Cfo and has the following contact phone number (949) 242-8377.

The CLIA number assigned to this NPI record is 46D2196707 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/10/2015 and was last updated on 12/10/2015.


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 FacilityYes

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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