Timpanogos Terrace Assisted Living LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

2012-ALII-87810 Issued in UT

Legal business name

TIMPANOGOS TERRACE ASSISTED LIVING LLC

Practice address

164 W 200 S
American Fork, UT 84003-2344

Phone

(801) 216-4110

Fax

(801) 877-2232

NPI assigned

Jan 25, 2012

Organization subpart

No

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

Authorized official

Name

Matt Rasband

Title

Manager

Phone

(801) 683-9550

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1327449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327449600000",
    "number": "1376814160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 W 200 S",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840032344",
            "telephone_number": "801-216-4110",
            "fax_number": "801-877-2232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 W 200 S",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840032344",
            "telephone_number": "801-216-4110",
            "fax_number": "801-877-2232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMPANOGOS TERRACE ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-25",
        "last_updated": "2012-01-25",
        "status": "A",
        "authorized_official_last_name": "RASBAND",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "801-683-9550"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "UT",
            "license": "2012-ALII-87810",
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "UT",
            "license": "2012-ALII-87810",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Ferguson Thuet, PA-C
• M'Lisa Tillack, LCSW
• Maia Tillett
• Timpanogas Pediatric Dentistry
• Timpanogos Audiology, Inc.
• Timpview ASC, LLC
• Dallin Tingey
• Jennifer J Tittensor, MD
• TMJ Therapy, Inc
• Bryant Joseph Todd

• Assisted Living Facility in American Fork, UT
• Providers in American 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 Jan 25, 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.