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GAHC4 WEST HAVEN UT TRS SUB, LLC
NPI 1063059939
Assisted Living Facility in West Haven, UT

Active since December 10, 2019
3518 SOUTH 2625 WEST, WEST HAVEN, UT 84401(801) 732-5290 Get Directions Write a Review

NPPES record last updated: December 10, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gahc4 West Haven Ut Trs Sub, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GAHC4 WEST HAVEN UT TRS SUB, LLC (NPI 1063059939), doing business as Lotus Park Assisted Living, is a healthcare organization registered as an assisted living facility in West Haven, Utah and active in the NPI registry since December 2019. The organization lists Danny Prosky, President, as its authorized official.

NPPES Registry Identity

NPI1063059939
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameGAHC4 WEST HAVEN UT TRS SUB, LLC
Location Address3518 SOUTH 2625 WESTWest Haven, UT 84401
Mailing Address18191 Von Karman Ave Ste 300Irvine, CA 92612-7106
Phone(801) 732-5290
Organization SubpartNo
Authorized OfficialDanny ProskyPresident · (949) 270-9200
Enumeration DateDecember 10, 2019
✔ NPI 1063059939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
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.
3518 SOUTH 2625 WEST, West Haven, UT 84401
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Other Names 1

Doing Business AsLotus Park Assisted Living

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gahc4 West Haven Ut Trs Sub, LLC's NPI number?

The NPI number for Gahc4 West Haven Ut Trs Sub, LLC is 1063059939. It was assigned to this organization in the NPPES registry on December 10, 2019. The provider is doing business as Lotus Park Assisted Living.

Where is Gahc4 West Haven Ut Trs Sub, LLC located?

Gahc4 West Haven Ut Trs Sub, LLC is located at 3518 South 2625 West, West Haven, UT 84401. The listed phone number is (801) 732-5290.

What is Gahc4 West Haven Ut Trs Sub, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Gahc4 West Haven Ut Trs Sub, LLC was last updated on December 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.