Organization Active NPI

Lanores Nursing Home, Inc.

Doing business as Draper Rehabilitation & Care Center

  • Skilled Nursing Facility
  • Draper, UT
National Provider Identifier
1417032608
Registry record updated Nov 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
C70636781 Issued in UT
Legal business name
LANORES NURSING HOME, INC.
Doing business as
Draper Rehabilitation & Care Center
Practice address
12702 Fort St
Draper, UT 84020-9755
Phone
(801) 571-2704
Fax
(801) 571-8921
NPI assigned
Oct 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2007

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

Authorized official

Name
Mr. Jason McArthur
Title
Cfo
Phone
(503) 362-5235

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X C70636781 UT Primary

Addresses

Primary practice location

12702 Fort St
Draper, UT 84020-9755

Mailing address

3155 River Rd S Ste 100
Salem, OR 97302-9819
Phone (503) 362-5235

Other identifiers 1

IdentifierTypeStateIssuer
870266857001MedicaidUT

Other names 1

  • Draper Rehabilitation & Care Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195516800000",
    "number": "1417032608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3155 RIVER RD S STE 100",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973029819",
            "telephone_number": "503-362-5235",
            "fax_number": "503-585-3267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12702 FORT ST",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840209755",
            "telephone_number": "801-571-2704",
            "fax_number": "801-571-8921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANORES NURSING HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-11-20",
        "status": "A",
        "authorized_official_last_name": "MCARTHUR",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "503-362-5235",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "UT",
            "license": "C70636781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "870266857001",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Draper Rehabilitation & Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Draper, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; 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.