American Fork Care Center LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

2006ALI253 Issued in UT

Legal business name

AMERICAN FORK CARE CENTER LLC

Doing business as

Heritage Haven

Practice address

350 East 300 North
American Fork, UT 84003

Phone

(801) 756-5293

Fax

(801) 756-4144

NPI assigned

Feb 1, 2008

Last updated

Feb 1, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

AVALON HEALTH CARE INCAs reported in NPPES

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

Authorized official

Name

Steven R Fraser

Title

Administrator

Phone

(801) 756-5293

Specialties & licenses 1

Addresses

Other names 1

• Heritage Haven Doing business as

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

{
    "created_epoch": "1201824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201824000000",
    "number": "1972781946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 EAST 300 NORTH",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "84003",
            "telephone_number": "801-756-5293",
            "fax_number": "801-756-4144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 EAST 300 NORTH",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "84003",
            "telephone_number": "801-756-5293",
            "fax_number": "801-756-4144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN FORK CARE CENTER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AVALON HEALTH CARE INC",
        "enumeration_date": "2008-02-01",
        "last_updated": "2008-02-01",
        "status": "A",
        "authorized_official_last_name": "FRASER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "801-756-5293"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "UT",
            "license": "2006ALI253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Haven",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alpine School District
• Alpine Therapy LLC
• Mohammad M Alsolaiman, MD
• Becky Altman
• Joanna Alvord
• American Fork Care Center,LLC (Heritage Care Center)
• American Fork Chiropractic & Accident Rehabilitation P.C.
• American Fork City Corporation (American Fork Fire/Rescue)
• American Fork Dialysis Center
• American Fork Dialysis LLC (Lone Peak Dialysis)

• Assisted Living Facility in American Fork, UT
• Providers in American Fork, 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 Feb 1, 2008; 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.