Provider Demographics
NPI:1053515163
Name:A98 SENIOR, LLC
Entity type:Organization
Organization Name:A98 SENIOR, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SR. VP, GENERAL COUNSEL & SECRETARY
Authorized Official - Prefix:MR
Authorized Official - First Name:W. BRYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HUDSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-779-4700
Mailing Address - Street 1:401 S 4TH ST
Mailing Address - Street 2:SUITE 1900
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40202-3426
Mailing Address - Country:US
Mailing Address - Phone:502-779-4700
Mailing Address - Fax:502-779-4701
Practice Address - Street 1:10970 S 700 E
Practice Address - Street 2:
Practice Address - City:SANDY
Practice Address - State:UT
Practice Address - Zip Code:84070-4934
Practice Address - Country:US
Practice Address - Phone:801-572-4456
Practice Address - Fax:801-571-7640
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT2007-ALII-847310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT2007-ALII-847OtherASSISTED LIVING LICENSE