COUNTRY LANE SANTAQUIN OPERATING LLC (NPI# 1457703787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457703787 |
| Entity Type | Organization |
| Organization Name | COUNTRY LANE SANTAQUIN OPERATING LLC |
| Practice Address |
409 S 300 W Santaquin UT 84655-8156 |
| Mailing Address |
1133 N Main St Suite 300 Layton UT 84041-4800 |
| Practice Telephone | 8017540813 |
| Practice Fax Number | 8017541784 |
| Mailing Telephone | 8015467417 |
| Mailing Fax Number | 8015465230 |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2016-07-11 |
| Authorized Official Name | MR. JARED ANDERSEN (OWNER) |
| Authorized Official Telephone | 8019283997 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Street Address |
409 S 300 W |
| City | SANTAQUIN |
| State | UT |
| Zip Code | 84655-8156 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790306462 | Sunset Living LLC | Assisted Living Facility | 409 S 300 W, Santaquin, UT 84655-8156 | 2020-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386257764 | Katie Lee Higgs | Marriage & Family Therapist | 1172 E State, W 100 N Suite 10, Payson, UTAH, UNITED STATES 84655 | 2020-08-26 |
| 1023637675 | Santaquin Market, Inc. | Pharmacy | 110 N. 400 E., Santaquin, UT 84655 | 2020-04-14 |
| 1215285929 | Seasons of Santaquin Assisted Living & Memory Care | Assisted Living Facility | 785 East 150 South, Santaquin, UT 84655 | 2012-08-28 |
| 1679685432 | Bradley D Horrocks | Physical Therapist | 340 East Main St, Suite #4, Santaquin, UT 84655 | 2006-08-31 |
| 1043280555 | Kenyon B Anderson | Optometrist | 252 W Main St Ste C, Santaquin, UT 84655 | 2006-01-25 |
| 1164580890 | Canyon View Medical Group LLC | Family Medicine | 94 W Main St, Santaquin, UT 84655 | 2006-12-05 |
| 1205108487 | Lara Howard | Case Manager/Care Coordinator | 624 N 500 W, Santaquin, UT 84655-5021 | 2012-02-02 |
| 1760916837 | Ambri Corlett Cunningham | Prevention Professional | 762 E 800 N, Genola, UT 84655-5056 | 2017-04-17 |
| 1669084661 | Adrianne Mason | Counselor | 1580 N Hillside Dr, Genola, UT 84655-5066 | 2020-08-20 |
| 1164984456 | Gonzales Lcsw LLC | Social Worker | 61 E 1600 N, Genola, UT 84655-5090 | 2019-04-04 |
| Find all providers in zip 84655 | ||||
| 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 |
|---|---|---|---|---|
| 1215285929 | Seasons of Santaquin Assisted Living & Memory Care | Assisted Living Facility | 785 East 150 South, Santaquin, UT 84655 | 2012-08-28 |
| 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 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on COUNTRY LANE SANTAQUIN OPERATING LLC.
| 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.