Reid'S Park Place

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL1-16789 Issued in UT

Legal business name

REID'S PARK PLACE

Practice address

554 S 400 E
Springville, UT 84663-2261

Phone

(801) 491-8979

Fax

(801) 491-8979

NPI assigned

Dec 13, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Terry Reid

Title

Administrator

Phone

(801) 491-8979

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197504000000",
    "number": "1598948416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "554 S 400 E",
            "city": "SPRINGVILLE",
            "state": "UT",
            "postal_code": "846632261",
            "telephone_number": "801-491-8979",
            "fax_number": "801-491-8979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "554 S 400 E",
            "city": "SPRINGVILLE",
            "state": "UT",
            "postal_code": "846632261",
            "telephone_number": "801-491-8979",
            "fax_number": "801-491-8979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REID'S PARK PLACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-13",
        "last_updated": "2007-12-13",
        "status": "A",
        "authorized_official_last_name": "REID",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "801-491-8979",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "UT",
            "license": "AL1-16789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Springville, UT
• Providers in Springville, 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 Dec 13, 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.