The Lodge Assisted Living Corporation

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

THE LODGE ASSISTED LIVING CORPORATION

Doing business as

The Lodge at Jordan River

Practice address

1341 South Jordan Parkway
South Jordan, UT 84095

Phone

(801) 254-9900

NPI assigned

Mar 24, 2008

Last updated

Mar 24, 2008By 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

Aaron Aizad

Title

President

Phone

(801) 254-9900

Specialties & licenses 1

Addresses

Other names 1

• The Lodge at Jordan River Doing business as

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

{
    "created_epoch": "1206316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206316800000",
    "number": "1629240221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1341 SOUTH JORDAN PARKWAY",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "84095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1341 SOUTH JORDAN PARKWAY",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "84095",
            "telephone_number": "801-254-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LODGE ASSISTED LIVING CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-24",
        "last_updated": "2008-03-24",
        "status": "A",
        "authorized_official_last_name": "AIZAD",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-254-9900"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "UT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Lodge at Jordan River",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in South Jordan, UT
• Providers in South Jordan, 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 Mar 24, 2008; 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.