WELCOME HOME ASSISTED LIVING (NPI# 1083731988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083731988 |
| Entity Type | Organization |
| Organization Name | WELCOME HOME ASSISTED LIVING |
| Practice Address |
633 E Medical Drive Bountiful UT 84010 |
| Mailing Address |
6591 S 475 E South Weber UT 84405-9601 |
| Practice Telephone | 8012984969 |
| Mailing Telephone | 8014769735 |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MICHAEL POFF (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8012984969 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | UT | Nursing & Custodial Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | WELCOME HOME ASSISTED LIVING CORPORATION | 1852 N 10th Ct, Washougal, WA 98671 |
| Street Address |
633 E MEDICAL DRIVE |
| City | BOUNTIFUL |
| State | UT |
| Zip Code | 84010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225699192 | Jessyca K Willie | Behavior Technician | 415 S. Medical Drive Suite D101, Bountiful, UT 84010 | 2019-06-21 |
| 1336634344 | Shanna Joy Jaggers | Social Worker | 2333 S 200 E, Bountiful, UT 84010 | 2018-06-22 |
| 1447773171 | Live Life Alarms | Emergency Response System Companies | 640 South 500 West, Bountiful, UT 84010 | 2017-07-25 |
| 1902328842 | Hailey Embley | Behavior Technician | 415 Medical Drive D 101, Bountiful, UT 84010 | 2017-07-12 |
| 1508318031 | Beverly Nielsen | Psychologist | 1001 Lakeview Drive, Bountiful, UT 84010 | 2016-11-01 |
| 1295287720 | Samantha Oslund | Speech-Language Pathologist | 415 Medical Dr Ste B102, Bountiful, UT 84010 | 2016-11-01 |
| 1750748273 | Jeremy Clark Morris | Dentist | 59 W 1600 N, Suite 110, Bountiful, UT 84010 | 2016-01-28 |
| 1629464706 | Shane James | Speech-Language Pathologist | 425 Medical Dr Ste 122, Bountiful, UT 84010 | 2015-04-15 |
| 1891186102 | Kenton Francis | Social Worker | 1355 North Main Street #1, Bountiful, UT 84010 | 2015-02-09 |
| 1205233855 | Modern Dental Professionals - Utah, PC | Dentist | 24 S. 500 West, #a, Bountiful, UT 84010 | 2014-11-25 |
| Find all providers in zip 84010 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336487107 | Waikoloa | Assisted Living Facility | 905 W 4000 S, Bountiful, UT 84010-8538 | 2013-01-29 |
| 1972643559 | South Davis Community Hospital, Inc. | Assisted Living Facility | 499 E 500 S, Bountiful, UT 84010-3801 | 2007-02-06 |
| 1992844377 | Western States Lodging & Development | Assisted Living Facility | 79 E Center St, Bountiful, UT 84010-6126 | 2007-02-05 |
| 1427196427 | Santensl | Assisted Living Facility | 905 West. 4000south, Bountiful, UT 84010 | 2007-02-02 |
| 1710514765 | Mg Bountiful Subtenant LLC | Assisted Living Facility | 1150 S Main St, Bountiful, UT 84010-6351 | 2020-03-26 |
| 1477193324 | Barton Care, LLC | Assisted Living Facility | 499 E 500 S, Bountiful, UT 84010-3800 | 2020-01-08 |
| 1942553573 | Heritage Place Management LLC | Assisted Living Facility | 1150 S Main St, Bountiful, UT 84010-6351 | 2012-10-19 |
| 1376800672 | Heritage Place Assisted Living | Assisted Living Facility | 1150 S Main St, Bountiful, UT 84010-6351 | 2012-04-12 |
| 1346393709 | Retirement Place, Inc | Assisted Living Facility | 1150 S Main St, Bountiful, UT 84010-6351 | 2007-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689273468 | Joel C. Horne & Co., Inc. | Assisted Living Facility | 831 S 700 W Bldg B, Hurricane, UT 84737-2502 | 2020-10-22 |
| 1578160321 | Golden Horizons, LLC | Assisted Living Facility | 535 N 600 W, Richfield, UT 84701-1767 | 2020-10-05 |
| 1144835117 | Sre Asl Lindon, LLC | Assisted Living Facility | 815 W 700 N, Lindon, UT 84042-1446 | 2020-09-15 |
| 1407461460 | Sre Asl Sg, LLC | Assisted Living Facility | 2654 Red Cliffs Dr, St George, UT 84790-5827 | 2020-09-15 |
| 1992319073 | Rocky Mountain Care - Vernal Manager, LLC | Assisted Living Facility | 301 E 100 S, Vernal, UT 84078-2633 | 2020-09-04 |
| 1558988923 | Rocky Mountain Care - Lindon Manager, LLC | Assisted Living Facility | 175 N State St, Lindon, UT 84042-1813 | 2020-07-01 |
| 1689294696 | Inception Holdings | Assisted Living Facility | 3306 W 3800 S, West Valley, UT 84119-4431 | 2020-04-20 |
| 1841828803 | Mg Cottonwood Heights Subtenant LLC | Assisted Living Facility | 7235 S Union Park Ave, Cottonwood Heights, UT 84047-4700 | 2020-03-27 |
| 1558993337 | Holladay Home Assisted Living LLC | Assisted Living Facility | 5950 S Highland Dr, Holladay, UT 84121-1328 | 2020-02-10 |
| 1740811223 | A Level Ventures | Assisted Living Facility | 940 N 2335 W, Vernal, UT 84078-8300 | 2020-02-03 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.