Basic Information
| Provider Information | |||||||||
| NPI: | 1053515163 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | A98 SENIOR, LLC | ||||||||
| LastName: | |||||||||
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| OtherOrganizationName: | ATRIA SANDY | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 401 S 4TH ST | ||||||||
| Address2: | SUITE 1900 | ||||||||
| City: | LOUISVILLE | ||||||||
| State: | KY | ||||||||
| PostalCode: | 402023426 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5027794700 | ||||||||
| FaxNumber: | 5027794701 | ||||||||
| Practice Location | |||||||||
| Address1: | 10970 S 700 E | ||||||||
| Address2: | |||||||||
| City: | SANDY | ||||||||
| State: | UT | ||||||||
| PostalCode: | 840704934 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8015724456 | ||||||||
| FaxNumber: | 8015717640 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/13/2007 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | HUDSON | ||||||||
| AuthorizedOfficialFirstName: | W. BRYAN | ||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | SR. VP, GENERAL COUNSEL & SECRETARY | ||||||||
| AuthorizedOfficialTelephone: | 5027794700 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MR. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 310400000X | 2007-ALII-847 | UT | Y | Nursing & Custodial Care Facilities | Assisted Living Facility |
ID Information
| ID | Type | State | Issuer | Description | 2007-ALII-847 | 01 | UT | ASSISTED LIVING LICENSE | OTHER |