Hillcrest Care Center

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

License

2004-NCF-478 Issued in UT

Legal business name

HILLCREST CARE CENTER

Practice address

348 E 8000 S
Sandy, UT 84070-0107

Phone

(801) 566-4191

Fax

(801) 566-1548

NPI assigned

Jul 11, 2005

Organization subpart

No

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

Authorized official

Name

Brian Heugly, RN

Title

Administrator

Phone

(801) 566-4191

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217376000000",
    "number": "1902804222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 470",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840910470",
            "telephone_number": "801-566-4191",
            "fax_number": "801-566-1548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 E 8000 S",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840700107",
            "telephone_number": "801-566-4191",
            "fax_number": "801-566-1548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLCREST CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-11",
        "last_updated": "2008-07-30",
        "status": "A",
        "authorized_official_last_name": "HEUGLY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "801-566-4191",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "UT",
            "license": "2004-NCF-478",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "46G005",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Stanford K Hirai
• Walaa Hmeida, AMFT
• Sophie Claire Hochhauser
• S. Alicia Hoerner, PH.D.

• Intellectual Disabilities Intermediate Care Facility in Sandy, UT
• Providers in Sandy, UT by specialty
• Intellectual Disabilities Intermediate Care Facility in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; 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.