Layton Park Memory Care

Primary specialty

Alzheimer Center (Dementia Center)Taxonomy code 311500000X

Legal business name

LAYTON PARK MEMORY CARE

Practice address

101 N Fort LN
Layton, UT 84041-5682

Phone

(801) 823-3112

Fax

(801) 719-6473

NPI assigned

Feb 5, 2019

Last updated

Feb 5, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jared Andersen

Title

Managing Member

Phone

(801) 546-7417

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1549324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549324800000",
    "number": "1639634561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 N MAIN ST # 300",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840414800",
            "telephone_number": "801-546-7417",
            "fax_number": "801-546-5230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N FORT LN",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840415682",
            "telephone_number": "801-823-3112",
            "fax_number": "801-719-6473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAYTON PARK MEMORY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-05",
        "last_updated": "2019-02-05",
        "status": "A",
        "authorized_official_last_name": "ANDERSEN",
        "authorized_official_first_name": "JARED",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "801-546-7417"
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HT008073",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Layton City Corporation
• Layton Family Medicine
• Layton Family Practice LLC
• Layton Hills Chiropractic
• Layton Oral Surgery, P.C.
• Layton Park Memory Care
• Layton Physical Therapy & Sports Medicine Inc
• Layton Smiles Dentistry, LLP (Layton Smiles Dentistry and Orthodontics)
• Layton Surgery Center LLC (Intermountain Health Surgery Center - Layton)
• Layton Visual Center

• Alzheimer Center (Dementia Center) in Layton, UT
• Providers in Layton, UT by specialty
• Alzheimer Center (Dementia Center) in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2019; 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.