Western States Lodging & Development

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

2005-ALII-971 Issued in UT

Legal business name

WESTERN STATES LODGING & DEVELOPMENT

Practice address

79 E Center St
Bountiful, UT 84010-6126

Phone

(801) 294-2925

Fax

(801) 298-7914

NPI assigned

Feb 5, 2007

Organization subpart

No

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

Authorized official

Name

Mr. David Reed Webster Jr.

Title

Administrator

Phone

(801) 294-1702

Specialties & licenses 1

Addresses

Other names 1

• Legacy House of Bountiful Doing business as

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1992844377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 E CENTER ST",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840106126",
            "telephone_number": "801-294-2925",
            "fax_number": "801-298-7914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 E CENTER ST",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840106126",
            "telephone_number": "801-294-2925",
            "fax_number": "801-298-7914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN STATES LODGING & DEVELOPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "WEBSTER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "REED",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "801-294-1702",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "UT",
            "license": "2005-ALII-971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legacy House of Bountiful",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Bountiful, UT
• Providers in Bountiful, 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 Jun 18, 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.