Organization Active NPI

JDC & Associates, Inc

Doing business as Walden Meadows Home Health

  • Home Health Agency
  • Murray, UT
National Provider Identifier
1982691853
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
JDC & ASSOCIATES, INC
Doing business as
Walden Meadows Home Health
Practice address
5278 Pinemont Dr
A-120
Murray, UT 84123-2711
Phone
(801) 262-7397
Fax
(801) 262-8011
NPI assigned
Oct 5, 2005
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
Jefferey L Gardner
Title
Coo
Phone
(801) 262-7397

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X UT Primary

Addresses

Primary practice location

5278 Pinemont Dr
A-120
Murray, UT 84123-2711

Mailing address

5278 Pinemont Dr
A-120
Murray, UT 84123-2711
Phone (801) 262-7397

Other identifiers 1

IdentifierTypeStateIssuer
0593350MedicaidIA

Other names 1

  • Walden Meadows Home Health 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": "1128470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982691853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5278 PINEMONT DR",
            "address_2": "A-120",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841232711",
            "telephone_number": "801-262-7397",
            "fax_number": "801-262-8011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5278 PINEMONT DR",
            "address_2": "A-120",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841232711",
            "telephone_number": "801-262-7397",
            "fax_number": "801-262-8011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JDC & ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "JEFFEREY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "801-262-7397"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "UT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0593350",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Walden Meadows Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Murray, 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.