NPIMap

Organization Active NPI

Hidden Hollow Care Center

  • Intellectual Disabilities Intermediate Care Facility
  • Orem, UT
National Provider Identifier
1477552099
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
NCF-366 Issued in UT
Legal business name
HIDDEN HOLLOW CARE CENTER
Practice address
261 W 2000 S
Orem, UT 84058-7417
Phone
(801) 225-2145
Fax
(801) 225-4249
NPI assigned
Jul 15, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Laetitia N Odunze
Title
Administrator
Phone
(801) 225-2145

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X NCF-366 UT Primary

Addresses

Primary practice location

261 W 2000 S
Orem, UT 84058-7417

Mailing address

261 W 2000 S
Orem, UT 84058-7417
Phone (801) 225-2145

Other names 1

  • RHA COMMUNITYSERVICESOFUTAH Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bungalow Care Center7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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": "1121385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477552099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 W 2000 S",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840587417",
            "telephone_number": "801-225-2145",
            "fax_number": "801-225-4249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 W 2000 S",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840587417",
            "telephone_number": "801-225-2145",
            "fax_number": "801-225-4249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIDDEN HOLLOW CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ODUNZE",
        "authorized_official_first_name": "LAETITIA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "801-225-2145",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "UT",
            "license": "NCF-366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RHA COMMUNITYSERVICESOFUTAH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orem, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.