Healthcare Provider Details

I. General information

NPI: 1346235645
Provider Name (Legal Business Name): TOPHAMS TINY TOTS CARE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

247 N 100 E
OREM UT
84057-4731
US

IV. Provider business mailing address

247 N 100 E
OREM UT
84057-4731
US

V. Phone/Fax

Practice location:
  • Phone: 801-225-0323
  • Fax: 801-225-0046
Mailing address:
  • Phone: 801-225-0323
  • Fax: 801-225-0046

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code313M00000X
TaxonomyNursing Facility/Intermediate Care Facility
License Number2005NCF2005
License Number StateUT

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MRS. JOYCE L HALLING
Title or Position: ADM
Credential: HEALTH FACILITY ADM
Phone: 801-225-0323