Hutchinson Care Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

423240 Issued in KS

Legal business name

HUTCHINSON CARE CENTER LLC

Practice address

500 N Market Place Dr
Suite 203
Centerville, UT 84014-1708

Phone

(801) 296-5105

Fax

(801) 382-1098

NPI assigned

Jan 29, 2009

Organization subpart

Yes

Parent organization

DNR TWO LLCAs reported in NPPES

Name

Tony K Lam

Title

Dir. of Finance

Phone

(801) 296-5149

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 29, 2009.

{
    "created_epoch": "1233187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233187200000",
    "number": "1235377201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N MARKET PLACE DR",
            "address_2": "SUITE 203",
            "city": "CENTERVILLE",
            "state": "UT",
            "postal_code": "840141708",
            "telephone_number": "801-296-5105",
            "fax_number": "801-382-1098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N MARKET PLACE DR",
            "address_2": "SUITE 203",
            "city": "CENTERVILLE",
            "state": "UT",
            "postal_code": "840141708",
            "telephone_number": "801-296-5105",
            "fax_number": "801-382-1098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUTCHINSON CARE CENTER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DNR TWO LLC",
        "enumeration_date": "2009-01-29",
        "last_updated": "2009-01-29",
        "status": "A",
        "authorized_official_last_name": "LAM",
        "authorized_official_first_name": "TONY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DIR. OF FINANCE",
        "authorized_official_telephone_number": "801-296-5149"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KS",
            "license": "423240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "175236",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul Huffaker, DMD
• Todd Huffaker, DDS
• Jared James Hultquist, PT, DPT
• Alexa Nicole Humphris
• Kajsa Hurtado
• Integrated Dermatology of Bountiful LLC
• Madison Lee James
• Katrina Jensen
• Trisha Tage Jensen, LCSW
• Keith Thomas Jenson

• All providers in Centerville, UT
• Skilled Nursing Facility in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2009; 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.