NPIMap

Organization Active NPI

Heritage Place Assisted Living

  • Assisted Living Facility
  • Bountiful, UT
National Provider Identifier
1376800672
Registry record updated Apr 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
2012-ALII-8674 Issued in UT
Legal business name
HERITAGE PLACE ASSISTED LIVING
Practice address
1150 S Main St
Bountiful, UT 84010-6351
Phone
(801) 298-3241
NPI assigned
Apr 12, 2012
Organization subpart
Yes
Parent organization
RETIREMENT LIVING GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 12, 2012

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

Authorized official

Name
Ms. Kaye Kizerian
Title
Administrator
Phone
(801) 298-3241

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 2012-ALII-8674 UT Primary

Addresses

Primary practice location

1150 S Main St
Bountiful, UT 84010-6351

Mailing address

1150 S Main St
Bountiful, UT 84010-6351
Phone (801) 298-3241

National Provider Directory

National Provider Directory
Tax ID family
Retirement Place Inc2 organizations share this tax ID, including this one
Part of
Retirement Place Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1334188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334188800000",
    "number": "1376800672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 S MAIN ST",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840106351",
            "telephone_number": "801-298-3241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 S MAIN ST",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840106351",
            "telephone_number": "801-298-3241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE PLACE ASSISTED LIVING",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RETIREMENT LIVING GROUP",
        "enumeration_date": "2012-04-12",
        "last_updated": "2012-04-12",
        "status": "A",
        "authorized_official_last_name": "KIZERIAN",
        "authorized_official_first_name": "KAYE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "801-298-3241",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "UT",
            "license": "2012-ALII-8674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bountiful, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2012; 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.