NORTH PARKWAY HEALTHCARE, INC. (NPI# 1710419114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710419114 |
Entity Type | Organization |
Organization Name | NORTH PARKWAY HEALTHCARE, INC. |
Other Organization Name | WIDE HORIZONS INTERMEDIATE CARE FACILITY |
Practice Address |
910 Monroe Blvd Ogden UT 84404-6434 |
Practice Telephone | 8013995876 |
Practice Fax Number | 8013922955 |
Mailing Telephone | 8013995876 |
Mailing Fax Number | 8013922955 |
Enumeration Date | 2017-04-03 |
Last Update Date | 2017-05-01 |
Authorized Official Name | SOON BURNAM (TREASURER) |
Authorized Official Telephone | 9495401249 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 313M00000X | Nursing Facility/Intermediate Care Facility | UT | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
UT | FACILITY LICENSE | 89630 | 01 |
Other Name | Type Code |
---|---|
Wide Horizons Intermediate Care Facility | Doing Business As Name - Organization |
Street Address |
910 MONROE BLVD |
City | OGDEN |
State | UT |
Zip Code | 84404-6434 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841241445 | Trinity Mission Wide Horizons Residential Care Facility, Lp | Intermediate Care Facility, Mentally Retarded | 910 Monroe Blvd, Ogden, UT 84404-6434 | 2006-05-16 |
1427290824 | Wide Horizons Residential Care Facility, LLC | Intermediate Care Facility, Mentally Retarded | 910 Monroe Blvd, Ogden, UT 84404-6434 | 2009-03-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881159648 | Bingham Marriage & Family Counseling | Counselor | 1812 W 2000 N #1, Ogden, UT 84404 | 2019-02-06 |
1609362094 | Hoopes Dental | Dentist | 333 2nd St. Suite 1a, Ogden, UT 84404 | 2018-07-09 |
1497241384 | Alysia Cohen | Specialist/Technologist | 1527 9th Street, Ogden, UT 84404 | 2018-07-03 |
1235648049 | Walk Perfect, Inc. | Podiatrist | 1069 S. Stewart Dr, Suite 1, Ogden, UT 84404 | 2017-09-25 |
1043738602 | Veronica Skidmore | Specialist/Technologist | 3848 Harrison Blvd., Ogden, UT 84404 | 2017-09-05 |
1134645526 | Pco-kta, LLC | Pharmacy | 3673 West 2600 North, Plain City, UT 84404 | 2017-08-17 |
1568899227 | Alisa Roberts | Marriage & Family Therapist | 1181 Christmas Box Lane, Ogden, UT 84404 | 2013-09-26 |
1366796351 | Kenneth Andrew Boothe | Chiropractor | 1920 North 250 West, Suite 24, Ogden, UT 84404 | 2012-10-30 |
1760730659 | Mercury Medical LLC | Durable Medical Equipment & Medical Supplies | 3385 W 2525 N, Plain City, UT 84404 | 2012-08-27 |
1700131471 | Tina Middleton | Massage Therapist | 1700w 2700n, # 37, Pleasant View, UT 84404 | 2012-07-19 |
Find all providers in zip 84404 |
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 |
---|---|---|---|---|
1598128977 | Michael Maez | Nursing Facility/Intermediate Care Facility | 1174 24th St, Apt 4, Ogden, UT 84401-2763 | 2016-04-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467999524 | Garfield County | Nursing Facility/Intermediate Care Facility | 200 N 450 E, Panguitch, UT 84759 | 2017-01-27 |
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 |
1063669067 | Hazen Nursing Home, Inc | Nursing Facility/Intermediate Care Facility | 2520 S Redwood Rd, West Valley City, UT 84119-2215 | 2008-08-20 |
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 |
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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.