Heritage of Soda Springs LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

HERITAGE OF SODA SPRINGS LLC

Doing business as

Heritage Senior Living

Practice address

425 S Spring Creek Dr
Soda Springs, ID 83276-1628

Phone

(208) 547-0257

Fax

(208) 682-7771

NPI assigned

Dec 1, 2022

Last updated

Dec 1, 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

Jordan J Snedaker

Title

Owner

Phone

(801) 889-7105

Specialties & licenses 1

Addresses

Other names 1

• Heritage Senior Living Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1669852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669852800000",
    "number": "1811607757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 47",
            "city": "PRESTON",
            "state": "ID",
            "postal_code": "832630047",
            "telephone_number": "801-889-7105",
            "fax_number": "208-682-7771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 S SPRING CREEK DR",
            "city": "SODA SPRINGS",
            "state": "ID",
            "postal_code": "832761628",
            "telephone_number": "208-547-0257",
            "fax_number": "208-682-7771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE OF SODA SPRINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-01",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A",
        "authorized_official_last_name": "SNEDAKER",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-889-7105"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jordan@heritgeofpreston.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "425 S Spring Creek Dr",
            "city": "Soda Springs",
            "state": "ID",
            "country_code": "US",
            "postal_code": "832761628",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Heritage Senior Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Soda Springs, ID
• Providers in Soda Springs, ID by specialty
• Assisted Living Facility in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.