Brightwork Villa Park Place

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

2016-ALI-UT000405 Issued in UT

Legal business name

BRIGHTWORK VILLA PARK PLACE

Practice address

565 E 300 S
Pleasant Grove, UT 84062-2953

Phone

(801) 694-3205

NPI assigned

Dec 21, 2016

Organization subpart

No

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

Authorized official

Name

Christopher Julian

Title

Owner

Phone

(801) 694-3205

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1482278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482278400000",
    "number": "1295270601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1582 E BRIDLEBROOK CIR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841177442",
            "telephone_number": "801-694-3205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 E 300 S",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840622953",
            "telephone_number": "801-694-3205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTWORK VILLA PARK PLACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-21",
        "last_updated": "2016-12-21",
        "status": "A",
        "authorized_official_last_name": "JULIAN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-694-3205"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "UT",
            "license": "2016-ALI-UT000405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Kyle Bowen, DDS
• Diane Gardner Bowers, LCSW
• Bridgehope Family Therapy, LLC
• Myken Briem, LCSW
• Brighterlife Family Wellness Center, PLLC
• Brightwork Villa Pleasant Grove LLC
• Chelsea Christina Brinkerhoff, LCSW
• Alicia Marie Britt
• Jayne Olivia Broadbent
• Roger D. Brockbank, M.D.

• Assisted Living Facility in Pleasant Grove, UT
• Providers in Pleasant Grove, 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 Dec 21, 2016; 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.