Active NPI
Quail Meadow Assisted Living, LLC
- Assisted Living Facility
- North Ogden, UT
National Provider Identifier
1154752178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 2013-ALII-UT000615
- Legal business name
- QUAIL MEADOW ASSISTED LIVING, LLC
- Practice address
- 786 E 2100 N
North Ogden, UT 84414-2935 - Phone
- (801) 782-7440
- NPI assigned
- Dec 1, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eric Martz
- Title
- Owner/Director
- Phone
- (801) 866-5009
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 2013-ALII-UT000615 | UT | Primary |
Addresses
Primary practice location
786 E 2100 N
North Ogden, UT 84414-2935
Mailing address
786 E 2100 N
North Ogden, UT 84414-2935
Phone (801) 782-7440
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1385856000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1395360000000",
"number": "1154752178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "786 E 2100 N",
"city": "NORTH OGDEN",
"state": "UT",
"postal_code": "844142935",
"telephone_number": "801-782-7440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "786 E 2100 N",
"city": "NORTH OGDEN",
"state": "UT",
"postal_code": "844142935",
"telephone_number": "801-782-7440"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QUAIL MEADOW ASSISTED LIVING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-12-01",
"last_updated": "2014-03-21",
"status": "A",
"authorized_official_last_name": "MARTZ",
"authorized_official_first_name": "ERIC",
"authorized_official_title_or_position": "OWNER/DIRECTOR",
"authorized_official_telephone_number": "801-866-5009"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "UT",
"license": "2013-ALII-UT000615",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Ogden, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.