Hazen Care Center, LLC

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

Legal business name

HAZEN CARE CENTER, LLC

Practice address

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

Phone

(801) 972-1050

Fax

(801) 908-0144

NPI assigned

Mar 22, 2016

Organization subpart

No

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

Authorized official

Name

Gregory Tuft

Title

Organizer

Phone

(801) 913-7456

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458604800000",
    "number": "1215399134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 W MAIN ST",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840435051",
            "telephone_number": "801-913-7456",
            "fax_number": "801-908-0144"
        },
        {
            "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",
            "fax_number": "801-908-0144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAZEN CARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-22",
        "last_updated": "2016-03-22",
        "status": "A",
        "authorized_official_last_name": "TUFT",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "ORGANIZER",
        "authorized_official_telephone_number": "801-913-7456"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Haupt, MS, RD, CDE
• Tui P Havea
• Charles W Haws, MD
• Brandon Hays, PA-C
• Joseph H Haywood, PA-C
• Hazen Nursing Home, Inc
• Shelly Head, ATC
• Healing Center of Utah
• Brooke Topham Heaps, PHARMD
• J. Linke Hebrew, MD

• All providers in West Valley City, UT
• Nursing Facility/Intermediate Care Facility in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.