Provider Demographics
NPI:1124552666
Name:PURPLE CHAIR HOLDINGS LLC
Entity Type:Organization
Organization Name:PURPLE CHAIR HOLDINGS LLC
Other - Org Name:PURPLE CHAIR ASSISTED LIVING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:L
Authorized Official - Last Name:DAINES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:385-209-4729
Mailing Address - Street 1:1155 W 3150 S
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:UT
Mailing Address - Zip Code:84075-9094
Mailing Address - Country:US
Mailing Address - Phone:385-209-4729
Mailing Address - Fax:
Practice Address - Street 1:1155 W 3150 S
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:UT
Practice Address - Zip Code:84075-9094
Practice Address - Country:US
Practice Address - Phone:385-209-4729
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-11
Last Update Date:2017-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT2017-ALII-101554310400000X
UT2017-ALI-95167310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility