HERITAGE PLACE ASSISTED LIVING - NPI 1376800672 - Assisted Living Facility in Bountiful, UT

Q: What is the provider's specialty?

The provider's specialty is Assisted Living Facility with taxonomy code 310400000X.

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About Heritage Place Assisted Living NPPES

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

HERITAGE PLACE ASSISTED LIVING (NPI 1376800672) is a healthcare organization registered as an assisted living facility in Bountiful, Utah and active in the NPI registry since April 2012. The organization lists Kaye Kizerian, Administrator, as its authorized official.

NPPES Registry Identity

NPI1376800672

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameHERITAGE PLACE ASSISTED LIVING

Location Address1150 S MAIN STBountiful, UT 84010-6351

Mailing Address1150 S Main StBountiful, UT 84010-6351 · (801) 298-3241

Phone(801) 298-3241

Organization SubpartYesParent: Retirement Living Group

Authorized OfficialKaye KizerianAdministrator · (801) 298-3241

Enumeration DateApril 12, 2012

✔ NPI 1376800672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

License✔ Licensed in UT · 2012-ALII-8674

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.

1150 S MAIN ST, Bountiful, UT 84010

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