Active NPI
Neighborhood House
- Adult Day Care Clinic/Center
- Salt Lake City, UT
National Provider Identifier
1144673013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- License
- 3587864002
- Legal business name
- NEIGHBORHOOD HOUSE
- Practice address
- 423 South 1100 West
Salt Lake City, UT 84104 - Phone
- (801) 363-4593
- Fax
- (801) 363-4591
- NPI assigned
- Jul 15, 2016
- Last updated
- Jul 15, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer Nuttall
- Title
- Executive Director
- Phone
- (801) 363-4589
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | 3587864002 | UT | Primary |
Addresses
Primary practice location
423 South 1100 West
Salt Lake City, UT 84104
Mailing address
1050 W 500 S
Salt Lake City, UT 84104-1319
Phone (801) 363-4589
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 320 | Medicaid | UT |
National Provider Directory
National Provider Directory- Tax ID family
- Neighborhood House
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Custodial Care Facility
- Salt Lake City, UT
- NPI 1700957552
Locations
1050 W 500 S
Salt Lake City, UT 84104
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468540800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1468540800000",
"number": "1144673013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1050 W 500 S",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841041319",
"telephone_number": "801-363-4589",
"fax_number": "801-363-4591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "423 SOUTH 1100 WEST",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "84104",
"telephone_number": "801-363-4593",
"fax_number": "801-363-4591"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEIGHBORHOOD HOUSE",
"organizational_subpart": "NO",
"enumeration_date": "2016-07-15",
"last_updated": "2016-07-15",
"status": "A",
"authorized_official_last_name": "NUTTALL",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "801-363-4589"
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": "UT",
"license": "3587864002",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "320",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.