Country Lane Mount Pleasant Operating LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

COUNTRY LANE MOUNT PLEASANT OPERATING LLC

Practice address

160 E 200 N
Mt Pleasant, UT 84647-1201

Phone

(435) 462-9494

Fax

(801) 546-5230

NPI assigned

Jul 11, 2016

Last updated

Jul 11, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jared Andersen

Title

Owner

Phone

(801) 928-3997

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1468195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468195200000",
    "number": "1437501772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 N MAIN ST",
            "address_2": "SUITE 300",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840414800",
            "telephone_number": "801-546-7417",
            "fax_number": "801-546-5230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 E 200 N",
            "city": "MT PLEASANT",
            "state": "UT",
            "postal_code": "846471201",
            "telephone_number": "435-462-9494",
            "fax_number": "801-546-5230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTRY LANE MOUNT PLEASANT OPERATING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-11",
        "last_updated": "2016-07-11",
        "status": "A",
        "authorized_official_last_name": "ANDERSEN",
        "authorized_official_first_name": "JARED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-928-3997",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shallyn Chesley
• Ryan Kelly Christensen, DO
• Sarah Elizabeth Christensen, FNP-C
• Swazie Christensen
• Gary M Cole, DO
• Chad Crosby
• Aurelia L S Davis
• Jenny Davis
• Tyler Davis
• Allen M Day, MD

• Assisted Living Facility in Mt Pleasant, UT
• Providers in Mt Pleasant, 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 Jul 11, 2016; 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.