Pheasant View Assisted Living, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

2011-ALII-99476 Issued in UT

Legal business name

PHEASANT VIEW ASSISTED LIVING, LLC

Practice address

1242 E Pheasant View Drive
Layton, UT 84041-7423

Phone

(801) 546-4100

Fax

(801) 927-1036

NPI assigned

Mar 31, 2011

Organization subpart

No

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

Authorized official

Name

Eric C Martz

Title

Director, Managing Member

Phone

(801) 546-4100

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1301529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301529600000",
    "number": "1639468507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1242 E PHEASANT VIEW DRIVE",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840417423",
            "telephone_number": "801-546-4100",
            "fax_number": "801-927-1036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1242 E PHEASANT VIEW DRIVE",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840417423",
            "telephone_number": "801-546-4100",
            "fax_number": "801-927-1036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHEASANT VIEW ASSISTED LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-31",
        "last_updated": "2011-03-31",
        "status": "A",
        "authorized_official_last_name": "MARTZ",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DIRECTOR, MANAGING MEMBER",
        "authorized_official_telephone_number": "801-546-4100"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "UT",
            "license": "2011-ALII-99476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaylynn Pettigrew
• Anna Pettipaw
• Lisa Pettus
• Hinauri Pfeiffer
• Elliott Phares
• Bryce Phelps
• Chelsy L Phelps
• Robin Phelps, L.C.S.W.
• Melanie Phifer, CCC-SLP
• Luke Phillips

• Assisted Living Facility in Layton, UT
• Providers in Layton, 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 31, 2011; 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.