Active NPI
Broadway Investments LLC
- Community Based Hospice Care Agency
- Bountiful, UT
National Provider Identifier
1407082787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- 2009-HOSPICE-89770
- Legal business name
- BROADWAY INVESTMENTS LLC
- Practice address
- 503 W 2600 S Ste 200
Bountiful, UT 84010-7717 - Phone
- (801) 294-0560
- Fax
- (801) 992-6590
- NPI assigned
- Jun 1, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. William Michael Archer
- Title
- Owner/Member
- Phone
- (801) 916-5600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | 2009-HOSPICE-89770 | UT | Primary |
Addresses
Primary practice location
503 W 2600 S Ste 200
Bountiful, UT 84010-7717
Mailing address
503 W 2600 S Ste 200
Bountiful, UT 84010-7717
Phone (801) 294-0560
Other names 1
- Tender Care Hospice
National Provider Directory
National Provider DirectoryLocations
503 W 2600 S
#200
Bountiful, UT 84010
Phone (801) 294-0560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243814400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1243814400000",
"number": "1407082787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "503 W 2600 S STE 200",
"city": "BOUNTIFUL",
"state": "UT",
"postal_code": "840107717",
"telephone_number": "801-294-0560",
"fax_number": "801-992-6590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "503 W 2600 S STE 200",
"city": "BOUNTIFUL",
"state": "UT",
"postal_code": "840107717",
"telephone_number": "801-294-0560",
"fax_number": "801-992-6590"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BROADWAY INVESTMENTS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-06-01",
"last_updated": "2009-06-01",
"status": "A",
"authorized_official_last_name": "ARCHER",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "OWNER/MEMBER",
"authorized_official_telephone_number": "801-916-5600",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "UT",
"license": "2009-HOSPICE-89770",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Tender Care Hospice",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bountiful, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.