Family Tree at West Point, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

FAMILY TREE AT WEST POINT, LLC

Practice address

421 N 3150 W
West Point, UT 84015-7865

Phone

(801) 775-8733

NPI assigned

Dec 19, 2006

Last updated

Aug 22, 2020By 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

Mr. Shane Corey Ericksen

Title

Owner

Phone

(801) 564-0411

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841353703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 N 3150 W",
            "city": "WEST POINT",
            "state": "UT",
            "postal_code": "840157865",
            "telephone_number": "801-775-8733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 N 3150 W",
            "city": "WEST POINT",
            "state": "UT",
            "postal_code": "840157865",
            "telephone_number": "801-775-8733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY TREE AT WEST POINT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ERICKSEN",
        "authorized_official_first_name": "SHANE",
        "authorized_official_middle_name": "COREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-564-0411",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "UT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gretel K Crison, DPM
• Custom Orthodontics
• Lea Davis
• Keith Deagostine
• Rachel B Edwards
• Matt Scott Francom, PA-C
• Bryce Kenneth Galbraith, DO
• Hilorie Edwards Garside, APRN- FNP
• Gaylene Godfrey
• Megan Grayson, FNP-C

• Assisted Living Facility in West Point, UT
• Providers in West Point, 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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.