GRIZZLY PEAK ASSISTED LIVING, LLC (NPI# 1164876041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164876041 |
| Entity Type | Organization |
| Organization Name | GRIZZLY PEAK ASSISTED LIVING, LLC |
| Other Organization Name | BEEHIVE HOMES OF PERRY |
| Practice Address |
126 W 1550 S Perry UT 84302-4277 |
| Practice Telephone | 4357321724 |
| Practice Fax Number | 4357233574 |
| Enumeration Date | 2016-04-18 |
| Last Update Date | 2016-04-18 |
| Authorized Official Name | RICHARD NUFFER (MEMBER/MANAGER) |
| Authorized Official Telephone | 8018932503 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311500000X | Alzheimer Center (Dementia Center) | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Beehive Homes of Perry | Doing Business As Name - Organization |
| Street Address |
126 W 1550 S |
| City | PERRY |
| State | UT |
| Zip Code | 84302-4277 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447725486 | All Seasons Health Services Company | Assisted Living Facility | 126 W 1550 S, Perry, UT 84302-4277 | 2018-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669945531 | Brandon Lee Allen | Counselor | 971 South 800 West, #104, Brigham City, UT 84302 | 2019-01-03 |
| 1104307495 | Tiffany Burnhope | Social Worker | 663 Parker Lane, Brigham City, UT 84302 | 2018-08-24 |
| 1558858464 | Michael Clark | Optometrist | 990 Medical Dr Ste G3, Brigham City, UT 84302 | 2018-04-16 |
| 1497273130 | Emily Marler | Counselor | 862 South Main Suite 4, Brigham City, UT 84302 | 2017-09-01 |
| 1003268731 | Tyler Beckstrand | Social Worker | 125 N Main Street, Brigham City, UT 84302 | 2016-07-06 |
| 1780030155 | Angela Stott | Case Manager/Care Coordinator | 160 E 800 S Apt. B216, Brigham City, UT 84302 | 2016-05-04 |
| 1699156802 | Christopher Jacobson | Family Medicine | 1050 Medical Dr, Brigham City, UT 84302 | 2015-06-12 |
| 1811377765 | Courtney Allred | Counselor | 863 S Main Street Suite 2, Brigham, UT 84302 | 2015-06-05 |
| 1235529579 | Belinda Castro | Counselor | 862 S Main Street Suite 2, Brigham City, UT 84302 | 2015-01-26 |
| 1760871818 | Ambryn Mccallson | Counselor | 862 S. Main, 4, Brigham City, UT 84302 | 2015-01-13 |
| Find all providers in zip 84302 | ||||
| Taxonomy Code | 311500000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Alzheimer Center (Dementia Center) |
| A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer’s Disease or their related diseases. Six elements of the facility/unit set it apart from other (the rest of the) facilities(y): Admission of residents with dementia (including those with Alzheimer's disease); Staff who are specially selected, trained, and supervised; Activities that are specifically designed for the cognitively impaired; A marketing of a special care unit in brochures; A high level of family involvement; and A physical environment designed to keep residents safe and segregated from other populations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891393930 | Sh1 Barrington Place LLC | Alzheimer Center (Dementia Center) | 1404 N 2000 W, Clinton, UT 84015-8364 | 2020-10-12 |
| 1881292936 | South Jordan Care Group LLC | Alzheimer Center (Dementia Center) | 2664 W 11400 S, South Jordan, UT 84095-1229 | 2020-10-12 |
| 1144875766 | Picnic Creek LLC | Alzheimer Center (Dementia Center) | 1407 S 2000 W, Syracuse, UT 84075-6935 | 2019-08-09 |
| 1124565619 | Ms - Ac Sunbrook Senior Living LLC | Alzheimer Center (Dementia Center) | 359 N Dixie Dr, St George, UT 84770-7039 | 2017-01-23 |
| 1013308071 | Autumn Care Living Center | Alzheimer Center (Dementia Center) | 290 East 4000 North, Hyde Park, UT 83286 | 2015-02-12 |
| 1477958353 | Chp Layton Ut Tenant Corp. | Alzheimer Center (Dementia Center) | 1201 N Fairfield Rd, Layton, UT 84041-8321 | 2014-11-04 |
| 1013285683 | Spring Gardens At Red Cliffs Lc | Alzheimer Center (Dementia Center) | 2654 East Red Cliffs Drive, Spring Gardens Senior Living, St George, UT 84790 | 2011-12-09 |
| 1881866499 | Legacy Village Healthcare LLC | Alzheimer Center (Dementia Center) | 5472 S 3200 W, Taylorsville, UT 84129-7804 | 2008-03-24 |
| 1972621456 | St George Senior Living LLC | Alzheimer Center (Dementia Center) | 134 W 2025 South Circle, Saint George, UT 84770-8741 | 2007-03-26 |
| 1639296429 | Emerald Pointe Assisted Living & Memory Care LLC | Alzheimer Center (Dementia Center) | 995 South Regency Road, Cedar City, UT 84720-1848 | 2007-03-25 |
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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.