Avalon Care Center - Bountiful 350 South, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

AVALON CARE CENTER - BOUNTIFUL 350 SOUTH, LLC

Practice address

350 S 400 E
Bountiful, UT 84010-4932

Phone

(801) 397-4900

NPI assigned

May 8, 2006

Last updated

Jul 21, 2022By 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

Faye Lincoln

Title

V.P. Policy/Government Relations

Phone

(801) 325-0153

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1720037856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 N 2100 W",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841164740",
            "telephone_number": "801-325-0153",
            "fax_number": "801-596-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 S 400 E",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840104932",
            "telephone_number": "801-397-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVALON CARE CENTER - BOUNTIFUL 350 SOUTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LINCOLN",
        "authorized_official_first_name": "FAYE",
        "authorized_official_title_or_position": "V.P. POLICY/GOVERNMENT RELATIONS",
        "authorized_official_telephone_number": "801-325-0153"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "UT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.