Picnic Creek LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

PICNIC CREEK LLC

Doing business as

Beehive Homes of Syracuse

Practice address

1407 S 2000 W
Syracuse, UT 84075-6935

Phone

(801) 776-7000

Fax

(801) 776-9464

NPI assigned

Aug 9, 2019

Organization subpart

No

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

Authorized official

Name

Aimee Jo Rice

Title

Administrator

Phone

(801) 776-7000

Specialties & licenses 3

Addresses

Other names 1

• Beehive Homes of Syracuse Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Aimee Jo Poe, OWNER

  • Assisted Living Facility
  • Syracuse, UT
  • NPI 1366185175
  NPD

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

{
    "created_epoch": "1565308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565308800000",
    "number": "1144875766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 S 2000 W",
            "city": "SYRACUSE",
            "state": "UT",
            "postal_code": "840756935",
            "telephone_number": "801-776-7000",
            "fax_number": "801-776-9464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 S 2000 W",
            "city": "SYRACUSE",
            "state": "UT",
            "postal_code": "840756935",
            "telephone_number": "801-776-7000",
            "fax_number": "801-776-9464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PICNIC CREEK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-09",
        "last_updated": "2019-08-09",
        "status": "A",
        "authorized_official_last_name": "RICE",
        "authorized_official_first_name": "AIMEE",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "801-776-7000"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beehive Homes of Syracuse",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christine S Peasley, LCSW
• Sheldon L Peck, DDS MS PC
• Patrick T Perkins
• Heidi Petersen
• Charis Phillips, HEALTH COACH
• Aimee Jo Poe, OWNER
• Connie Powell, LCSW
• Private Healthcare Facilities
• Russell Allan Pryor, LCSW
• Purple Chair Holdings LLC (Purple Chair Assisted Living)

• Assisted Living Facility in Syracuse, UT
• Providers in Syracuse, 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 9, 2019; 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.