Organization Active NPI

CHP Layton Ut Tenant Corp.

  • Assisted Living Facility
  • Layton, UT
National Provider Identifier
1477958353
Registry record updated Nov 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
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

Updated by the provider on Nov 4, 2014

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.