West 1020 Healthcare, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

WEST 1020 HEALTHCARE, INC.

Practice address

1053 W 1020 S
Provo, UT 84601-5656

Phone

(801) 373-2630

Fax

(801) 373-2660

NPI assigned

Apr 3, 2017

Organization subpart

No

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

Authorized official

Name

Soon Burnam

Title

Treasurer

Phone

(949) 540-1249

Specialties & licenses 1

Addresses

Other names 1

• Utah Valley Healthcare and Rehabilitation Doing business as

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

{
    "created_epoch": "1491177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493596800000",
    "number": "1093247488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1053 W 1020 S",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846015656",
            "telephone_number": "801-373-2630",
            "fax_number": "801-373-2660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1053 W 1020 S",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846015656",
            "telephone_number": "801-373-2630",
            "fax_number": "801-373-2660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST 1020 HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-03",
        "last_updated": "2017-05-01",
        "status": "A",
        "authorized_official_last_name": "BURNAM",
        "authorized_official_first_name": "SOON",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "949-540-1249"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "UT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Utah Valley Healthcare and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mark Wendelboe
• Carrie Lynn Elizabeth Wendt
• Douglas Michael Wendt, LCSW, PHD
• Becky Bytheway Wengreen, LMFT
• Wesley D Wylie MD LLC
• Michael West, ATC
• Samantha Joan West
• Susanna Bean West, CRNA
• Deborah Eileen Westmoreland, M.S.
• Andrea Renee Westover

• Skilled Nursing Facility in Provo, UT
• Providers in Provo, UT by specialty
• Skilled Nursing Facility in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2017; 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.