Heirloom Inn, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

2006-ALII-16260 Issued in UT

Legal business name

HEIRLOOM INN, INC.

Practice address

145 N Carbon Ave
Price, UT 84501-2464

Phone

(435) 636-8441

Fax

(435) 613-8040

NPI assigned

May 15, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Errol D. Durrant

Title

Administration (Finance)

Phone

(435) 636-8441

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210809600000",
    "number": "1194992354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 N CARBON AVE",
            "city": "PRICE",
            "state": "UT",
            "postal_code": "845012464",
            "telephone_number": "435-636-8441",
            "fax_number": "435-613-8040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 N CARBON AVE",
            "city": "PRICE",
            "state": "UT",
            "postal_code": "845012464",
            "telephone_number": "435-636-8441",
            "fax_number": "435-613-8040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEIRLOOM INN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-15",
        "last_updated": "2008-05-15",
        "status": "A",
        "authorized_official_last_name": "DURRANT",
        "authorized_official_first_name": "ERROL",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "ADMINISTRATION (FINANCE)",
        "authorized_official_telephone_number": "435-636-8441",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "UT",
            "license": "2006-ALII-16260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Price, UT
• Providers in Price, 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 May 15, 2008; 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.