Organization Active NPI

Highland Manor of Fallon Assisted Living LLC

  • Assisted Living Facility
  • Fallon, NV
National Provider Identifier
1740058742
Registry record updated Dec 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
HIGHLAND MANOR OF FALLON ASSISTED LIVING LLC
Practice address
550 N Sherman St
Fallon, NV 89406-3488
Phone
(775) 423-7800
NPI assigned
Dec 19, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2023

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

Authorized official

Name
Walter Myers
Title
Member
Phone
(801) 709-4358

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

550 N Sherman St
Fallon, NV 89406-3488

Mailing address

947 S 500 E Ste 105
American Fork, UT 84003-3392
Phone (385) 492-0194

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1702944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702944000000",
    "number": "1740058742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "947 S 500 E STE 105",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840033392",
            "telephone_number": "385-492-0194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 N SHERMAN ST",
            "city": "FALLON",
            "state": "NV",
            "postal_code": "894063488",
            "telephone_number": "775-423-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLAND MANOR OF FALLON ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-19",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "WALTER",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "801-709-4358"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fallon, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; 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.