Organization Active NPI

Quail Meadow Assisted Living, LLC

  • Assisted Living Facility
  • North Ogden, UT
National Provider Identifier
1154752178
Registry record updated Mar 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
2013-ALII-UT000615 Issued in UT
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

Updated by the provider on Mar 21, 2014

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.