Country Garden Homes, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

ALI46720 Issued in UT

Legal business name

COUNTRY GARDEN HOMES, INC.

Practice address

1635 North Angle St
Layton, UT 84041-1908

Phone

(801) 525-1214

Fax

(801) 525-1214

NPI assigned

Dec 18, 2006

Last updated

Aug 22, 2020By 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

Mrs. Diane Kap

Title

Owner

Phone

(801) 807-9124

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1134282833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 NORTH ANGLE STREET",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840411908",
            "telephone_number": "801-525-1214",
            "fax_number": "801-525-1214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 NORTH ANGLE ST",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840411908",
            "telephone_number": "801-525-1214",
            "fax_number": "801-525-1214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTRY GARDEN HOMES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KAP",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-807-9124",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "UT",
            "license": "ALI46720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Ruth Cornelius
• Emily Corona
• Andrew Cortez, D.O.
• Matthew Cotte
• Kelli Cottrell
• Jordan Robert Cowan, APRN
• Jamie Marie Cox
• Julianne Cox
• Kaylee Cox
• Kristen Cox, APRN

• Assisted Living Facility in Layton, UT
• Providers in Layton, 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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.