Organization Active NPI

Neighborhood House

  • Adult Day Care Clinic/Center
  • Salt Lake City, UT
National Provider Identifier
1144673013
Registry record updated Jul 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
3587864002 Issued in UT
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, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2016

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
320MedicaidUT

National Provider Directory

National Provider Directory
Tax ID family
Neighborhood House2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.