Ensign Assisted Living LLC

Primary specialty

Alzheimer Center (Dementia Center)Taxonomy code 311500000X

Legal business name

ENSIGN ASSISTED LIVING LLC

Doing business as

Gables of Brigham City

Practice address

997 S 800 W
Brigham City, UT 84302-3042

Phone

(208) 785-1820

Fax

(208) 785-1824

NPI assigned

Feb 24, 2015

Organization subpart

No

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

Authorized official

Name

Michael Robbins

Title

Business Manager

Phone

(208) 785-1820

Specialties & licenses 1

Addresses

Other names 1

• GABLES OF BRIGHAM CITY Doing business as

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

{
    "created_epoch": "1424736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424736000000",
    "number": "1174915425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 417",
            "city": "BLACKFOOT",
            "state": "ID",
            "postal_code": "832210417",
            "telephone_number": "208-785-1820",
            "fax_number": "208-785-1824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "997 S 800 W",
            "city": "BRIGHAM CITY",
            "state": "UT",
            "postal_code": "843023042",
            "telephone_number": "208-785-1820",
            "fax_number": "208-785-1824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENSIGN ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-24",
        "last_updated": "2015-02-24",
        "status": "A",
        "authorized_official_last_name": "ROBBINS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "208-785-1820"
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "UT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GABLES OF BRIGHAM CITY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laura Jane Ellis
• Roger M Ellis, D.C.
• Encore, L.C.
• Jeffrey England
• Jori England
• Alexandria Esplin
• Jessica Evans
• Eye & Vision Care, LLC
• Ray Fadich
• Blake Farr

• Alzheimer Center (Dementia Center) in Brigham City, UT
• Providers in Brigham City, UT by specialty
• Alzheimer Center (Dementia Center) in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2015; 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.