Active NPI
CHP Layton Ut Tenant Corp.
- Assisted Living Facility
- Layton, UT
National Provider Identifier
1477958353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- CHP LAYTON UT TENANT CORP.
- Practice address
- 1201 N Fairfield Rd
Layton, UT 84041-8321 - Phone
- (407) 540-7652
- NPI assigned
- Nov 4, 2014
- 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
- Kevin Ray Maddron
- Title
- Senior Vice President
- Phone
- (407) 540-7519
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | UT | Primary | |
| Alzheimer Center (Dementia Center) | 311500000X | UT |
Addresses
Primary practice location
1201 N Fairfield Rd
Layton, UT 84041-8321
Mailing address
450 S Orange Ave
Orlando, FL 32801-3383
Phone (801) 807-0111
Other names 1
- Fairfield Village of Layton
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415059200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1415059200000",
"number": "1477958353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 S ORANGE AVE",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328013383",
"telephone_number": "801-807-0111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 N FAIRFIELD RD",
"city": "LAYTON",
"state": "UT",
"postal_code": "840418321",
"telephone_number": "407-540-7652"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHP LAYTON UT TENANT CORP.",
"organizational_subpart": "NO",
"enumeration_date": "2014-11-04",
"last_updated": "2014-11-04",
"status": "A",
"authorized_official_last_name": "MADDRON",
"authorized_official_first_name": "KEVIN",
"authorized_official_middle_name": "RAY",
"authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
"authorized_official_telephone_number": "407-540-7519"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "UT",
"license": null,
"primary": true
},
{
"code": "311500000X",
"taxonomy_group": "",
"desc": "Alzheimer Center (Dementia Center)",
"state": "UT",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Fairfield Village of Layton",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Layton, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.