ELK MEADOWS ASSISTED LIVING, LLC (NPI# 1548420748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548420748 |
| Entity Type | Organization |
| Organization Name | ELK MEADOWS ASSISTED LIVING, LLC |
| Practice Address |
4200 North 400 West Oakley UT 84055 |
| Practice Telephone | 4357835575 |
| Practice Fax Number | 4357835588 |
| Mailing Telephone | 4357835575 |
| Mailing Fax Number | 4357835588 |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2011-11-08 |
| Authorized Official Name | MR. STEVEN BAE (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 5036753925 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 310400000X | Assisted Living Facility | 2007-ALII-80781 | UT | Nursing & Custodial Care Facilities |
| Y | 310400000X | Assisted Living Facility | 2010-ALII-80781 | UT | Nursing & Custodial Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | ELK MEADOWS ASSISTED LIVING, LLC | 560 First St Ste 104, Lake Oswego, OR 97034 |
| Street Address |
4200 NORTH 400 WEST |
| City | OAKLEY |
| State | UT |
| Zip Code | 84055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366771065 | Syau-fu Ma | Obstetrics & Gynecology | 5974 N Maple Ridge Trail, Oakley, UT 84055 | 2009-12-09 |
| 1255463618 | Oakley School | Psychiatric Residential Treatment Facility | 251 West Weber Canyon Road, Oakley, UT 84055-0357 | 2007-03-12 |
| 1972935625 | Innerchange Oakley, LLC | Psychiatric Residential Treatment Facility | 251 West Weber Canyon Road, Oakley, UT 84055-0357 | 2013-08-05 |
| 1235314253 | Lisa Hampshire | Social Worker | 251 West Weber Canyon Road, Oakley, UT 84055-0357 | 2008-01-09 |
| 1720262603 | Suzanne Clark | Marriage & Family Therapist | 251 West Weber Canyon Road, Oakley, UT 84055-0357 | 2007-12-27 |
| 1750565867 | Roxi Nelson | Social Worker | 251 West Weber Canyon Road, Oakley, UT 84055-0357 | 2007-12-26 |
| 1417130840 | Coady Schueler | Psychologist | 251 West Weber Canyon Road, Oakley, UT 84055-0357 | 2007-12-07 |
| 1790982999 | Rodney Andrus | Social Worker | 251 West Weber Canyon Road, Oakley, UT 84055-0357 | 2007-06-29 |
| 1780760827 | Vernie Douglas Bodden Jr. | Obstetrics & Gynecology | 5224 N. 750 West, Oakley, UT 84055-0664 | 2006-10-31 |
| 1154872539 | Tillie Borrelli | Nurse Practitioner | 5184 Rodeo Cir, Oakley, UT 84055-2101 | 2016-10-20 |
| Find all providers in zip 84055 | ||||
| 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 |
|---|---|---|---|---|
| 1447734025 | Nicolette Daniele Lake | Assisted Living Facility | 531 Ohara Ave, Oakley, CA 94561-5741 | 2018-09-20 |
| 1912379231 | Shirley Virden | Assisted Living Facility | 1448 Buttons Ct, Oakley, CA 94561-2002 | 2015-10-26 |
| 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 | ||||
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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.