MEDICARE: APPLE TREE LAYTON LP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility	2006-ALII-954	UT
2	311500000X	Alzheimer Center (Dementia Center)	2006-ALII-954	UT

General Provider Information

NPI Number	:	1083775399
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	APPLE TREE LAYTON LP

Provider Business Mailing Address
First Line	:	2600 HOBBS VIEW CIR
Second Line	:
City	:	LAYTON
State	:	UT
Zip	:	84040-7112
Country	:	US
Telephone Number	:	801-771-2525
Fax Number	:	801-614-1650

Provider Business Practice Location Address
First Line	:	2600 HOBBS VIEW CIR
Second Line	:
City	:	LAYTON
State	:	UT
Zip	:	84040-7112
Country	:	US
Telephone Number	:	801-771-2525
Fax Number	:	801-614-1650

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. JOHN K. HANSEN
Credential	:
Telephone Number	:	801-771-2525

Provider Enumeration Date	:	12/12/2006
Last Update Date	:	09/11/2025

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Directions to “APPLE TREE LAYTON LP ” Practice Location

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