Provider Demographics
NPI:1770661985
Name:TOPHAM'S TINY TOTS CARE CENTER INC.
Entity Type:Organization
Organization Name:TOPHAM'S TINY TOTS CARE CENTER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSIT ADM
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:L
Authorized Official - Last Name:CHRISTENSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-225-0323
Mailing Address - Street 1:247 N 100 E
Mailing Address - Street 2:
Mailing Address - City:OREM
Mailing Address - State:UT
Mailing Address - Zip Code:84057-4731
Mailing Address - Country:US
Mailing Address - Phone:801-225-0323
Mailing Address - Fax:801-225-0046
Practice Address - Street 1:247 N 100 E
Practice Address - Street 2:
Practice Address - City:OREM
Practice Address - State:UT
Practice Address - Zip Code:84057-4731
Practice Address - Country:US
Practice Address - Phone:801-225-0323
Practice Address - Fax:801-225-0046
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT2006-NCF-88315P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities