Hearthstone Manor, Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

2008-ALII-15797 Issued in UT

Legal business name

HEARTHSTONE MANOR, INC

Practice address

1424 S 1700 E
Spanish Fork, UT 84660-9007

Phone

(801) 798-1500

Fax

(801) 798-7900

NPI assigned

May 10, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Bryan C Mathews, MPT

Title

Administrator

Phone

(801) 798-1500

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1273449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273449600000",
    "number": "1356669709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1424 S 1700 E",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846609007",
            "telephone_number": "801-798-1500",
            "fax_number": "801-798-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1424 S 1700 E",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846609007",
            "telephone_number": "801-798-1500",
            "fax_number": "801-798-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTHSTONE MANOR, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-10",
        "last_updated": "2010-05-10",
        "status": "A",
        "authorized_official_last_name": "MATHEWS",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "801-798-1500",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "UT",
            "license": "2008-ALII-15797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Spanish Fork, UT
• Providers in Spanish Fork, 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 10, 2010; 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.