Organization Active NPI

Hennefer's Home for the Elderly

  • Assisted Living Facility
  • Salt Lake City, UT
National Provider Identifier
1205131091
Registry record updated Jan 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
2010-ALI-364 Issued in UT
Legal business name
HENNEFER'S HOME FOR THE ELDERLY
Practice address
1200 E 4500 S
Salt Lake City, UT 84117-4127
Phone
(801) 265-9617
NPI assigned
Jan 25, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2011

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

Authorized official

Name
Ms. Myrna Jean Hennefer
Title
Owner/Administrator
Phone
(801) 265-9617

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 2010-ALI-364 UT Primary

Addresses

Primary practice location

1200 E 4500 S
Salt Lake City, UT 84117-4127

Mailing address

1200 E 4500 S
Salt Lake City, UT 84117-4127
Phone (801) 265-9617

National Provider Directory

National Provider Directory

Locations

1200 E 4500 S
Millcreek, UT 84117
Phone (801) 265-9617

NPI Registry JSON

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

{
    "created_epoch": "1295913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295913600000",
    "number": "1205131091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 E 4500 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841174127",
            "telephone_number": "801-265-9617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E 4500 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841174127",
            "telephone_number": "801-265-9617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENNEFER'S HOME FOR THE ELDERLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-25",
        "last_updated": "2011-01-25",
        "status": "A",
        "authorized_official_last_name": "HENNEFER",
        "authorized_official_first_name": "MYRNA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "801-265-9617",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "UT",
            "license": "2010-ALI-364",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 25, 2011; 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.