Organization Active NPI

Hobbleview Haven, LLC

  • In Home Supportive Care Agency
  • Provo, UT
National Provider Identifier
1336865500
Registry record updated Oct 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
HOBBLEVIEW HAVEN, LLC
Doing business as
SYNERGY HomeCare of Provo
Practice address
333 W 2230 N Ste 240
Provo, UT 84604-7520
Phone
(385) 254-0872
Fax
(385) 254-0877
NPI assigned
Oct 18, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2022

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

Authorized official

Name
Mrs. Heather Smith
Title
Owner
Phone
(385) 254-0872

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

333 W 2230 N Ste 240
Provo, UT 84604-7520

Mailing address

333 W 2230 N Ste 240
Provo, UT 84604-7520
Phone (385) 254-0872

Other names 1

  • SYNERGY HomeCare of Provo Doing business as

National Provider Directory

National Provider Directory

Locations

333 W 2230 N
Ste 240
Provo, UT 84604
Phone (385) 254-0872

NPI Registry JSON

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

{
    "created_epoch": "1666051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666051200000",
    "number": "1336865500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 W 2230 N STE 240",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846047520",
            "telephone_number": "385-254-0872",
            "fax_number": "385-254-0877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 W 2230 N STE 240",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846047520",
            "telephone_number": "385-254-0872",
            "fax_number": "385-254-0877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOBBLEVIEW HAVEN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-18",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "385-254-0872",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SYNERGY HomeCare of Provo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Provo, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; 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.