Jordan House Assisted Living, LC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

ALII17895 Issued in UT

Legal business name

JORDAN HOUSE ASSISTED LIVING, LC

Practice address

1517 Temple LN
South Jordan, UT 84095-2415

Phone

(801) 254-0373

Fax

(801) 254-0250

NPI assigned

Jan 9, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Jaunice Kay Minor

Title

Executive Assistant

Phone

(801) 269-0700

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Legacy House of South Jordan 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": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215734400000",
    "number": "1124177233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1517 TEMPLE LN",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840952415",
            "telephone_number": "801-254-0373",
            "fax_number": "801-254-0250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1517 TEMPLE LN",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840952415",
            "telephone_number": "801-254-0373",
            "fax_number": "801-254-0250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORDAN HOUSE ASSISTED LIVING, LC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2008-07-11",
        "status": "A",
        "authorized_official_last_name": "MINOR",
        "authorized_official_first_name": "JAUNICE",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "EXECUTIVE ASSISTANT",
        "authorized_official_telephone_number": "801-269-0700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "UT",
            "license": "ALII17895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "ALII17895",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legacy House of South Jordan",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael David Jones, MD
• Robert Scott Jones, CMHC
• Ryan C Jones, DO
• Stephen Kent Jones, MD
• Jordan Hearing and Balance LLC
• Jordan Valley Counseling Clinic
• Branden Jorgensen, DPT
• Danielle Josephsen
• Katie A. Julien, M.D.
• Elizabeth Junk, DPT

• Assisted Living Facility in South Jordan, UT
• Providers in South Jordan, 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 Jul 11, 2008; 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.