S-H Ashford Opco LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

S-H ASHFORD OPCO LLC

Doing business as

Highland Glen

Practice address

10322 N 4800 W
Highland, UT 84003-8965

Phone

(801) 610-3500

NPI assigned

Dec 10, 2015

Last updated

Dec 10, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kent Crandal

Title

Cfo

Phone

(949) 242-8377

Specialties & licenses 1

Addresses

Other names 1

• Highland Glen Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1449705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449705600000",
    "number": "1073988473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 PARK PLZ STE 400",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926142507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10322 N 4800 W",
            "city": "HIGHLAND",
            "state": "UT",
            "postal_code": "840038965",
            "telephone_number": "801-610-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S-H ASHFORD OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-10",
        "last_updated": "2015-12-10",
        "status": "A",
        "authorized_official_last_name": "CRANDAL",
        "authorized_official_first_name": "KENT",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "949-242-8377"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Highland Glen",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Highland, UT
• Providers in Highland, UT by specialty
• Assisted Living Facility in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.