Brightwork Villa Pleasant Grove LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

2015-ALI-UT000353 Issued in UT

Legal business name

BRIGHTWORK VILLA PLEASANT GROVE LLC

Practice address

60 E 1200 N
Pleasant Grove, UT 84062-1754

Phone

(801) 694-3205

NPI assigned

Jan 27, 2016

Organization subpart

No

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

Authorized official

Name

Christopher Julian

Title

Administrator

Phone

(801) 694-3205

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1453852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453852800000",
    "number": "1679930242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1582 E BRIDLEBROOK CIR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841177442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 E 1200 N",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840621754",
            "telephone_number": "801-694-3205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTWORK VILLA PLEASANT GROVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-27",
        "last_updated": "2016-01-27",
        "status": "A",
        "authorized_official_last_name": "JULIAN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "801-694-3205"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "UT",
            "license": "2015-ALI-UT000353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Miranda Brooksby

• Assisted Living Facility in Pleasant Grove, UT
• Providers in Pleasant Grove, 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 Jan 27, 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.