Organization Active NPI

Sego Lily Assisted Living

  • Assisted Living Facility
  • Sandy, UT
National Provider Identifier
1316457443
Registry record updated Oct 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
2017-ALI-UT207199 Issued in UT
Legal business name
SEGO LILY ASSISTED LIVING
Practice address
465 E Sego Lily Dr
Sandy, UT 84070-3547
Phone
(801) 367-8854
NPI assigned
Oct 3, 2017
Last updated
Oct 3, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2017

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

Authorized official

Name
Marina Rider
Title
Owner
Phone
(801) 367-8854

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 2017-ALI-UT207199 UT Primary

Addresses

Primary practice location

465 E Sego Lily Dr
Sandy, UT 84070-3547

Mailing address

1350 N Manila CT
Pleasant Grove, UT 84062-9158
Phone (801) 367-8854

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1506988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506988800000",
    "number": "1316457443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 N MANILA CT",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840629158",
            "telephone_number": "801-367-8854",
            "fax_number": "801-701-2126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 E SEGO LILY DR",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840703547",
            "telephone_number": "801-367-8854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEGO LILY ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-03",
        "last_updated": "2017-10-03",
        "status": "A",
        "authorized_official_last_name": "RIDER",
        "authorized_official_first_name": "MARINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-367-8854"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "UT",
            "license": "2017-ALI-UT207199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2017; 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.