NPIMap

Organization Active NPI

Country Niche Adult Day Care LLC

  • Adult Day Care Clinic/Center
  • Clinton, UT
National Provider Identifier
1326323114
Registry record updated Oct 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
17327 Issued in UT
Legal business name
COUNTRY NICHE ADULT DAY CARE LLC
Practice address
2179 W 1800 N
Suite D
Clinton, UT 84015-7900
Phone
(801) 825-3582
Fax
(801) 825-8536
NPI assigned
Oct 12, 2011
Last updated
Oct 12, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2011

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

Authorized official

Name
Mr. Paul Allen Burnett
Title
Owner
Phone
(801) 825-3582

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 17327 UT Primary

Addresses

Primary practice location

2179 W 1800 N
Suite D
Clinton, UT 84015-7900

Mailing address

2179 W 1800 N
Suite D
Clinton, UT 84015-7900
Phone (801) 825-3582

National Provider Directory

National Provider Directory
Tax ID family
Country Niche Adult Day Care2 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.

NPI Registry JSON

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

{
    "created_epoch": "1318377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318377600000",
    "number": "1326323114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2179 W 1800 N",
            "address_2": "SUITE D",
            "city": "CLINTON",
            "state": "UT",
            "postal_code": "840157900",
            "telephone_number": "801-825-3582",
            "fax_number": "801-825-8536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2179 W 1800 N",
            "address_2": "SUITE D",
            "city": "CLINTON",
            "state": "UT",
            "postal_code": "840157900",
            "telephone_number": "801-825-3582",
            "fax_number": "801-825-8536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTRY NICHE ADULT DAY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-12",
        "last_updated": "2011-10-12",
        "status": "A",
        "authorized_official_last_name": "BURNETT",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-825-3582",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "UT",
            "license": "17327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.