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COUNTRY LANE PAYSON OPERATING LLC NPI 1750732723


NPI Information

NPI: 1750732723
Provider Name: COUNTRY LANE PAYSON OPERATING LLC
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
153 S. 900 E
PAYSON, UT
ZIP 84651
Phone: (801) 465-1490
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COUNTRY LANE PAYSON OPERATING LLC is an assisted living facility in Payson, 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. COUNTRY LANE PAYSON OPERATING LLC NPI is 1750732723. The provider is registered as an organization entity type.

The provider's business location address is:

153 S. 900 E
PAYSON, UT
ZIP 84651
Phone: (801) 465-1490
Fax: (801) 465-3579

The provider's authorized official is Jared Andersen .
The authorized official title is Owner and has the following contact phone number (801) 928-3997.

The enumeration date for this NPI number is 6/30/2016 and was last updated on 6/30/2016.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living Facility2016AL11UT207238UTAHYes

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.