Hazen Nursing Home, Inc

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

2008-NCF-52 Issued in UT

Legal business name

HAZEN NURSING HOME, INC

Practice address

2520 S Redwood Rd
West Valley City, UT 84119-2215

Phone

(801) 972-1050

NPI assigned

Aug 20, 2008

Last updated

Aug 20, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Romaine Tuft

Title

Administrator

Phone

(801) 972-1050

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1219190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219190400000",
    "number": "1063669067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 S REDWOOD RD",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841192215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 S REDWOOD RD",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841192215",
            "telephone_number": "801-972-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAZEN NURSING HOME, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-20",
        "last_updated": "2008-08-20",
        "status": "A",
        "authorized_official_last_name": "TUFT",
        "authorized_official_first_name": "ROMAINE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "801-972-1050"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "UT",
            "license": "2008-NCF-52",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tui P Havea
• Charles W Haws, MD
• Brandon Hays, PA-C
• Joseph H Haywood, PA-C
• Hazen Care Center, LLC
• Shelly Head, ATC
• Healing Center of Utah
• Brooke Topham Heaps, PHARMD
• J. Linke Hebrew, MD
• Geoffrey James Heckel, FNP, DNP, APRN

• Nursing Facility/Intermediate Care Facility in West Valley City, UT
• Providers in West Valley City, UT by specialty
• Nursing Facility/Intermediate Care Facility in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2008; 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.