NPIMap

Organization Active NPI

M LLC

  • Assisted Living Facility
  • Orem, UT
National Provider Identifier
1053808055
Registry record updated Apr 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
2018-AZ11-UT000121 Issued in UT
Legal business name
M LLC
Practice address
92 S 800 E
Orem, UT 84097-5714
Phone
(801) 494-2042
NPI assigned
Apr 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dennis Allen S Allen
Title
Manager
Phone
(435) 232-4413

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 2018-AZ11-UT000121 UT Primary

Addresses

Primary practice location

92 S 800 E
Orem, UT 84097-5714

Mailing address

92 S 800 E
Orem, UT 84097-5714
Phone (801) 494-2042

Other names 1

  • Covington Village Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1523836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523836800000",
    "number": "1053808055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 S 800 E",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840975714",
            "telephone_number": "801-494-2042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 S 800 E",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840975714",
            "telephone_number": "801-494-2042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-16",
        "last_updated": "2018-04-16",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "DENNIS ALLEN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "435-232-4413"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "UT",
            "license": "2018-AZ11-UT000121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Covington Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orem, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.