Organization Active NPI

Heros for Independent Living

  • Preferred Provider Organization
  • Bountiful, UT
National Provider Identifier
1972928760
Registry record updated Sep 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
Legal business name
HEROS FOR INDEPENDENT LIVING
Practice address
655 Medical Dr
Suite 103
Bountiful, UT 84010-5168
Phone
(801) 390-1441
NPI assigned
Mar 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2014

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

Authorized official

Name
Mr. Robert L Griffiths
Title
Executive Director
Phone
(801) 390-1441

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X UT Primary

Addresses

Primary practice location

655 Medical Dr
Suite 103
Bountiful, UT 84010-5168

Mailing address

655 Medical Dr
Suite 103
Bountiful, UT 84010-5168
Phone (801) 390-1441

National Provider Directory

National Provider Directory

Locations

655 Medical Dr
Ste 103
Bountiful, UT 84010
Phone (801) 390-1441

NPI Registry JSON

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

{
    "created_epoch": "1393804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410307200000",
    "number": "1972928760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 MEDICAL DR",
            "address_2": "SUITE 103",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840105168",
            "telephone_number": "801-390-1441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 MEDICAL DR",
            "address_2": "SUITE 103",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840105168",
            "telephone_number": "801-390-1441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEROS FOR INDEPENDENT LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-03",
        "last_updated": "2014-09-10",
        "status": "A",
        "authorized_official_last_name": "GRIFFITHS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "801-390-1441",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "UT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bountiful, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.