Provider Demographics
NPI:1417340696
Name:APIARY MANAGEMENT GROUP
Entity Type:Organization
Organization Name:APIARY MANAGEMENT GROUP
Other - Org Name:BEEHIVE HOMES OF HERRIMAN #1
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:LOPEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-903-1040
Mailing Address - Street 1:6352 W 13100 S
Mailing Address - Street 2:
Mailing Address - City:HERRIMAN
Mailing Address - State:UT
Mailing Address - Zip Code:84096-3872
Mailing Address - Country:US
Mailing Address - Phone:801-903-1040
Mailing Address - Fax:801-446-6003
Practice Address - Street 1:6352 W 13100 S
Practice Address - Street 2:
Practice Address - City:HERRIMAN
Practice Address - State:UT
Practice Address - Zip Code:84096-3872
Practice Address - Country:US
Practice Address - Phone:801-903-1040
Practice Address - Fax:801-446-6003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-11
Last Update Date:2015-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT2015-ALII-UT000651310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility