Elk Ridge Assisted Living

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

ELK RIDGE ASSISTED LIVING

Practice address

218 W Olympic Dr
Elk Ridge, UT 84651-5712

Phone

(801) 358-7343

NPI assigned

Aug 1, 2013

Organization subpart

No

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

Authorized official

Name

Chris Hermansen

Title

Owner

Phone

(801) 358-7343

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1375315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375315200000",
    "number": "1407288400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 W OLYMPIC DR",
            "city": "ELK RIDGE",
            "state": "UT",
            "postal_code": "846515712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 W OLYMPIC DR",
            "city": "ELK RIDGE",
            "state": "UT",
            "postal_code": "846515712",
            "telephone_number": "801-358-7343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELK RIDGE ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-01",
        "last_updated": "2013-08-01",
        "status": "A",
        "authorized_official_last_name": "HERMANSEN",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-358-7343"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanya Bailey
• Richard Barton
• Dennis Michael Concoby, D.O.
• Jared Curtis, MD
• Doug and Betty Ford Counseling LLC
• Glen R Gabler, M.D.
• Linda Greco, CSW-I
• Glen I Judd
• Renew Counseling
• Alexis D. Richardson

• Community Health Clinic/Center in Elk Ridge, UT
• Providers in Elk Ridge, UT by specialty
• Community Health Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2013; 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.