HAZEN NURSING HOME, INC (NPI# 1063669067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063669067 |
| Entity Type | Organization |
| Organization Name | HAZEN NURSING HOME, INC |
| Practice Address |
2520 S Redwood Rd West Valley City UT 84119-2215 |
| Practice Telephone | 8019721050 |
| Enumeration Date | 2008-08-20 |
| Last Update Date | 2008-08-20 |
| Authorized Official Name | ROMAINE TUFT (ADMINISTRATOR) |
| Authorized Official Telephone | 8019721050 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 2008-NCF-52 | UT | Nursing & Custodial Care Facilities |
| Street Address |
2520 S REDWOOD RD |
| City | WEST VALLEY CITY |
| State | UT |
| Zip Code | 84119-2215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942650148 | Beaver Valley Hospital | Nursing Facility/Intermediate Care Facility | 2520 S Redwood Rd, West Valley City, UT 84119-2215 | 2016-06-17 |
| 1215399134 | Hazen Care Center, LLC | Nursing Facility/Intermediate Care Facility | 2520 S Redwood Rd, West Valley City, UT 84119-2215 | 2016-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164981932 | Arches Home Care, Inc. | Non-emergency Medical Transport (VAN) | 1385 W 2200 S Ste 203, West Valley City, UT 84119 | 2019-03-19 |
| 1629591003 | Exemplar Healthcare, Inc. | Hospice Care, Community Based | 1385 W 2200 S Ste 202, West Valley City, UT 84119 | 2017-07-18 |
| 1619358496 | Otto Bock Orthopedic Services LLC | Durable Medical Equipment & Medical Supplies | 2875 S Decker Lake Dr Ste 180, West Valley City, UT 84119 | 2015-06-17 |
| 1821407735 | Nathan William Stobbe | Dentist | 3280 W. 3500 S. Ste 3, West Valley, UT 84119 | 2014-08-05 |
| 1801209028 | Utah Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3148 W 3500 S, West Valley City, UT 84119 | 2014-06-05 |
| 1215347935 | Karl Edward Jennings | Social Worker | 3901 S David Pl, West Valley City, UT 84119 | 2014-05-02 |
| 1750624672 | Shannon Quinn Dunlop | Registered Nurse | 2621 S 3270 W, West Valley City, UT 84119 | 2013-03-28 |
| 1215273529 | Holly H Tanski | Counselor | 5770 S. 1500 W. Bld A, Ihc Wasatch Canyons Campus, Salt Lake City, UT 84119 | 2012-12-14 |
| 1982955860 | Oquirrh Meadows Care and Rehab, Inc | Assisted Living Facility | 2948 So. Redwood Road, West Valley City, UT 84119 | 2012-10-02 |
| 1518235068 | Asjad Kaleem Mohammed | Pharmacist | 2290 S Redwood Road, Olive Pharmacy, Salt Lake City, UT 84119 | 2011-12-12 |
| Find all providers in zip 84119 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942650148 | Beaver Valley Hospital | Nursing Facility/Intermediate Care Facility | 2520 S Redwood Rd, West Valley City, UT 84119-2215 | 2016-06-17 |
| 1215399134 | Hazen Care Center, LLC | Nursing Facility/Intermediate Care Facility | 2520 S Redwood Rd, West Valley City, UT 84119-2215 | 2016-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467999524 | Garfield County | Nursing Facility/Intermediate Care Facility | 200 N 450 E, Panguitch, UT 84759 | 2017-01-27 |
| 1598128977 | Michael Maez | Nursing Facility/Intermediate Care Facility | 1174 24th St, Apt 4, Ogden, UT 84401-2763 | 2016-04-01 |
| 1932536257 | Ellas LLC | Nursing Facility/Intermediate Care Facility | 3520 S Highland Dr, Salt Lake City, UT 84106-3211 | 2013-10-01 |
| 1700141769 | Wepa Enterprises Inc. | Nursing Facility/Intermediate Care Facility | 155 N 300 W, Washington, UT 84780-1520 | 2012-07-05 |
| 1881991701 | Canyonlands Health Care Special Service District | Nursing Facility/Intermediate Care Facility | 390 W Williams Way, Moab, UT 84532 | 2011-02-14 |
| 1003846478 | Mayfield Community Care Center, Inc. | Nursing Facility/Intermediate Care Facility | 10 W 400 S, Centerfield, UT 84622 | 2006-07-03 |
| 1851348965 | Hobble Creek Nursing & Rehab | Nursing Facility/Intermediate Care Facility | 469 N Main St, Springville, UT 84663-1036 | 2006-05-27 |
| 1871582759 | N.m.p. Inc | Nursing Facility/Intermediate Care Facility | 3520 Highland Dr, Salt Lake City, UT 84106-3211 | 2005-10-13 |
| 1346235645 | Tophams Tiny Tots Care Center | Nursing Facility/Intermediate Care Facility | 247 N 100 E, Orem, UT 84057-4731 | 2005-09-13 |
| 1225030810 | Friendship Villa Care Center Inc | Nursing Facility/Intermediate Care Facility | 3094 S State St, Salt Lake City, UT 84115-3834 | 2005-08-12 |
| Find all providers with the same taxonomy | ||||
| City | WEST VALLEY CITY |
| Zip Code | 84119 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.