COUNTRY LANE PAYSON OPERATING LLC (NPI# 1750732723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750732723 |
| Entity Type | Organization |
| Organization Name | COUNTRY LANE PAYSON OPERATING LLC |
| Practice Address |
153 S. 900 E Payson UT 84651 |
| Mailing Address |
1133 N. Main St Suite 210 Layton UT 84041 |
| Practice Telephone | 8014651490 |
| Practice Fax Number | 8014653579 |
| Mailing Telephone | 8015467417 |
| Mailing Fax Number | 8015465230 |
| Enumeration Date | 2016-06-30 |
| Last Update Date | 2016-06-30 |
| Authorized Official Name | 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 | 2016AL11UT207238 | UT | Nursing & Custodial Care Facilities |
| Street Address |
153 S. 900 E |
| City | PAYSON |
| State | UT |
| Zip Code | 84651 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467996116 | At Peace Peace Hospice Care LLC. | Hospice Care, Community Based | 863 S 500 W, Payson, UT 84651 | 2016-12-15 |
| 1811390768 | Payson Rx Express LLC | Pharmacy | 869 S Turf Farm Rd, Payson, UT 84651 | 2014-10-07 |
| 1205261807 | Payson Sports & Spine LLC | Chiropractor | 871 South 500 West, Payson, UT 84651 | 2013-09-13 |
| 1205177722 | Avalon Care Center - Va Payson, LLC | Skilled Nursing Facility | 1551 North Main Street, Payson, UT 84651 | 2013-03-07 |
| 1609015353 | Donald Rex Lankford | Social Worker | 806 South 1040 West, Payson, UT 84651 | 2009-02-19 |
| 1477709772 | Canyon View Medical Group LLC | Obstetrics & Gynecology | 15 S 1000 E Ste 125, Payson, UT 84651 | 2008-08-18 |
| 1386836112 | Canyon View Medical Group LLC | Pediatrics | 15 South 1000 East, Suite 100, Payson, UT 84651 | 2007-08-15 |
| 1518187350 | Richard Barton | Pharmacist | 69 East Hudson Ln, Elk Ridge, UT 84651 | 2007-04-26 |
| 1356400337 | Apple Valley Vision LLC | Optometrist | 539 South 100 West, Payson, UT 84651 | 2006-12-06 |
| 1700966348 | Kristopher Cheyn Gunnerson | Dentist | 33 West 300 South, Payson, UT 84651 | 2006-10-17 |
| Find all providers in zip 84651 | ||||
| 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 |
|---|---|---|---|---|
| 1497013940 | Payson's Open Door | Assisted Living Facility | 1008 S Butte Crest Cir, Payson, AZ 85541-5603 | 2012-05-02 |
| 1386876696 | Elder Assisted Living LLC | Assisted Living Facility | 661 E 700 S, Payson, UT 84651-2964 | 2009-08-20 |
| 1245356708 | Assisted Living Concepts Inc | Assisted Living Facility | 806 West Longhorn Road, Payson, AZ 88541 | 2007-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 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.