NPIMap

Organization Active NPI

Blackbird Care

  • Assisted Living Facility
  • West Jordan, UT
National Provider Identifier
1053024968
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
BLACKBIRD CARE
Practice address
7922 S Goldenpointe Way
West Jordan, UT 84088-7672
Phone
(801) 792-6033
NPI assigned
Jan 5, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

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

Authorized official

Name
Jennifer Daye Wilson, RNNPI 1902784317
Title
Owner
Phone
(801) 792-6033

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

7922 S Goldenpointe Way
West Jordan, UT 84088-7672

Mailing address

7922 S Goldenpointe Way
West Jordan, UT 84088-7672
Phone (801) 792-6033

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.

NPI Registry JSON

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

{
    "created_epoch": "1672876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672876800000",
    "number": "1053024968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7922 S GOLDENPOINTE WAY",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840887672",
            "telephone_number": "801-792-6033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7922 S GOLDENPOINTE WAY",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840887672",
            "telephone_number": "801-792-6033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACKBIRD CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-05",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "DAYE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-792-6033",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Jordan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; 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.