Healthcare Provider Details
I. General information
NPI: 1821885500
Provider Name (Legal Business Name): SUNFLOWER ASSISTED LIVING AND MEMORY CARE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/24/2025
Last Update Date: 04/24/2025
Certification Date: 04/16/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3583 W 2350 N
PLAIN CITY UT
84404
US
IV. Provider business mailing address
3583 W 2350 N
PLAIN CITY UT
84404
US
V. Phone/Fax
- Phone: 801-997-1221
- Fax: 801-997-1223
- Phone: 801-997-1221
- Fax: 801-997-1223
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 310400000X |
| Taxonomy | Assisted Living Facility |
| License Number | |
| License Number State | |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
VIII. Authorized Official
Name:
PATRICIA
LEAVITT
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 801-425-3271