Organization Active NPI

BJB, Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • West Jordan, UT
National Provider Identifier
1528110681
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
4889452-0140 Issued in UT
Legal business name
BJB, INC.
Practice address
3511 W 7340 S
West Jordan, UT 84084-2770
Phone
(801) 567-0710
Fax
(801) 567-0710
NPI assigned
Jan 17, 2007
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. Susan A Hughes
Title
President
Phone
(801) 567-0710

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 4889452-0140 UT Primary

Addresses

Primary practice location

3511 W 7340 S
West Jordan, UT 84084-2770

Mailing address

3511 W 7340 S
West Jordan, UT 84084-2770
Phone (801) 567-0710

Other identifiers 1

IdentifierTypeStateIssuer
A00892OtherUTSTATE CONTRACT NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528110681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3511 W 7340 S",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840842770",
            "telephone_number": "801-567-0710",
            "fax_number": "801-567-0710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3511 W 7340 S",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840842770",
            "telephone_number": "801-567-0710",
            "fax_number": "801-567-0710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BJB, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUGHES",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-567-0710",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "UT",
            "license": "4889452-0140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE CONTRACT NUMBER",
            "identifier": "A00892",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Jordan, 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.