{
"Npi": {
"NPI": "1023166733",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ALTA MEADOWS HEALTH CARE",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "3411 W 2400 S",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WEST VALLEY CITY",
"MailingAddressStateName": "UT",
"MailingAddressPostalCode": "84119-1149",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "801-886-2642",
"MailingAddressFaxNumber": "801-886-2643",
"FirstLinePracticeLocationAddress": "1990 N 1690 W",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "LAYTON",
"PracticeLocationAddressStateName": "UT",
"PracticeLocationAddressPostalCode": "84041-1134",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "801-546-2642",
"PracticeLocationAddressFaxNumber": "801-546-2652",
"EnumerationDate": "01/08/2007",
"LastUpdateDate": "05/23/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "WILKINSON",
"AuthorizedOfficialFirstName": "JAMES",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "CEO",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "801-548-2934",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}