PETERSEN FARMS ASSISTED LIVING & MEMORY CARE


Address: 6980 S. 475 E., South Weber, UT 84405
Phone: 8014796000

PETERSEN FARMS ASSISTED LIVING & MEMORY CARE (NPI# 1518525989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518525989
Entity Type Organization
Organization Name PETERSEN FARMS ASSISTED LIVING & MEMORY CARE
Practice Address 6980 S. 475 E.
South Weber
UT 84405
Practice Telephone 8014796000
Mailing Telephone 8014796000
Enumeration Date 2019-05-31
Last Update Date 2019-05-31
Authorized Official Name BRENT CROXFORD (ADMINISTRATOR)
Authorized Official Telephone 8013883848
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 310400000X Assisted Living Facility Nursing & Custodial Care Facilities

Office Location

Street Address 6980 S. 475 E.
City SOUTH WEBER
State UT
Zip Code 84405

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669028171 Alyssa House Behavioral Analyst 4933 1500 West #110, Riverdale, UT 84405 2019-08-12
1376038141 National Vision, Inc. Technician/Technologist 821 West Riverdale Road, Riverdale, UT 84405 2018-06-25
1194218461 South Weber City Ambulance 7365 S 1375 E, South Weber, UT 84405 2018-06-12
1528572682 Sandra Jo Scott Dental Hygienist 264 W Ridgeline Dr, Washington Terrace, UT 84405 2017-11-28
1376079061 Loretta Shupe Registered Nurse 5319 S 500 E, Ogden, UT 84405 2017-05-02
1134661374 Randy Ferrin Registered Nurse 5697 Maplewood Drive, South Ogden, UT 84405 2016-11-04
1871046284 Karla Rosen Counselor 5202 S. Freeway Park Dr., Riverdale, UT 84405 2016-08-02
1053784520 Jenifer Rebecca Nilson Smith Physical Therapist 5648 S. Adams Ave, Washington Terrace, UT 84405 2015-11-05
1972976454 Jenniferlyn Fletcher Physical Therapy Assistant 5648 South Adams Ave, Washington Terrace, UT 84405 2015-11-05
1699148171 Amanda Kathryn Trease Occupational Therapy Assistant 5648 South Adams Ave., Washington Terrace, UT 84405 2015-11-05
Find all providers in zip 84405

Taxonomy Information

Taxonomy Code 310400000X
Grouping Nursing & Custodial Care Facilities
Classification Assisted Living Facility

Taxonomy Definition

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]

Providers in the same taxonomy and state

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

Competitor

Search similar providers

City SOUTH WEBER
Zip Code 84405

Improve Information

Please comment or provide details below to improve the information on PETERSEN FARMS ASSISTED LIVING & MEMORY CARE.

Dataset Information

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.

Trending Searches