Organization Active NPI

Hobblecreek Healthcare LLC

  • Assisted Living Facility
  • Springville, UT
National Provider Identifier
1033391636
Registry record updated Dec 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
320175-4405 Issued in UT
Legal business name
HOBBLECREEK HEALTHCARE LLC
Practice address
1761 Cobblestone Rd
Springville, UT 84663-3236
Phone
(801) 400-1103
NPI assigned
Dec 5, 2007
Last updated
Dec 5, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Paul S. Rosser, FNP
Title
Ceo
Phone
(801) 400-1103

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 320175-4405 UT Primary

Addresses

Primary practice location

1761 Cobblestone Rd
Springville, UT 84663-3236

Mailing address

1761 Cobblestone Rd
Springville, UT 84663-3236
Phone (801) 400-1103

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196812800000",
    "number": "1033391636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1761 COBBLESTONE RD",
            "city": "SPRINGVILLE",
            "state": "UT",
            "postal_code": "846633236",
            "telephone_number": "801-400-1103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1761 COBBLESTONE RD",
            "city": "SPRINGVILLE",
            "state": "UT",
            "postal_code": "846633236",
            "telephone_number": "801-400-1103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOBBLECREEK HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-05",
        "last_updated": "2007-12-05",
        "status": "A",
        "authorized_official_last_name": "ROSSER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "801-400-1103",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "UT",
            "license": "320175-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springville, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.