Legacy House Of South Jordan

LBN: Jordan House Assisted Living, Lc
Legacy House Of South Jordan is an health care organization with primary practice located at 1517 Temple Ln , South Jordan UT 84095-2415. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Jordan House Assisted Living, Lc can be contacted via phone (801) 254-0373, or through Minor, Jaunice Kay via phone (801) 269-0700.

Contact Information

Primary practice address
1517 Temple Ln South Jordan UT 84095-2415
Phone: (801) 254-0373
Fax: (801) 254-0250
Website:
Map and Directions
Authorized official contact:
Name: Minor, Jaunice Kay
Phone: (801) 269-0700

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X ALII17895 Utah

Profile Details

NPI number 1124177233
LBN Legal business name Jordan House Assisted Living, Lc
DBA Doing business as Legacy House Of South Jordan
Authorized official Minor, Jaunice Kay
Entity Organization
Organization subpart 1 No
Enumeration date Jan 9th, 2007
Last updated Jul 11th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124177233 NPPES
Utah Other ALII17895 STATE LICENSE NUMBER

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