Everwood Properties

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

2008-AL1-79401 Issued in UT

Legal business name

EVERWOOD PROPERTIES

Doing business as

Williamsburg Retirement Community

Practice address

132 W 300 N
Logan, UT 84321-3954

Phone

(435) 753-5502

Fax

(435) 753-5547

NPI assigned

Apr 10, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Scott B. Monson

Title

Principal

Phone

(435) 753-5502

Specialties & licenses 1

Addresses

Other names 1

• Williamsburg Retirement Community 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": "1239321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239321600000",
    "number": "1144463803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 W 300 N",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843213954",
            "telephone_number": "435-753-5502",
            "fax_number": "435-753-5547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 W 300 N",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843213954",
            "telephone_number": "435-753-5502",
            "fax_number": "435-753-5547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERWOOD PROPERTIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-10",
        "last_updated": "2009-04-10",
        "status": "A",
        "authorized_official_last_name": "MONSON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "435-753-5502",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "UT",
            "license": "2008-AL1-79401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Williamsburg Retirement Community",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Logan, UT
• Providers in Logan, 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 Apr 10, 2009; 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.