Provider Demographics
NPI:1457519449
Name:COVE POINT RETIREMENT CTR
Entity Type:Organization
Organization Name:COVE POINT RETIREMENT CTR
Other - Org Name:COVE POINT RETIREMENT CTR
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:BRYCE
Authorized Official - Middle Name:
Authorized Official - Last Name:RICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-377-9670
Mailing Address - Street 1:1988 COVE POINT LN
Mailing Address - Street 2:
Mailing Address - City:PROVO
Mailing Address - State:UT
Mailing Address - Zip Code:84604-1323
Mailing Address - Country:US
Mailing Address - Phone:801-377-9670
Mailing Address - Fax:801-375-0492
Practice Address - Street 1:1988 COVE POINT LN
Practice Address - Street 2:
Practice Address - City:PROVO
Practice Address - State:UT
Practice Address - Zip Code:84604-1323
Practice Address - Country:US
Practice Address - Phone:801-377-9670
Practice Address - Fax:801-375-0492
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-28
Last Update Date:2020-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT2008-ALI-244310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility