Organization Active NPI

Purple Chair Holdings LLC

Doing business as Assisted Living of Orem South Villa

  • Assisted Living Facility
  • Orem, UT
National Provider Identifier
1063927531
Registry record updated Dec 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
PURPLE CHAIR HOLDINGS LLC
Doing business as
Assisted Living of Orem South Villa
Practice address
430 S Main St
Orem, UT 84058-6202
Phone
(888) 999-9066
Fax
(888) 999-9066
NPI assigned
Dec 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2017

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

Authorized official

Name
Karen Daines
Title
Owner
Phone
(888) 999-9066

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

430 S Main St
Orem, UT 84058-6202

Mailing address

1155 W 3150 S
Syracuse, UT 84075-9094
Phone (888) 999-9066

Other names 1

  • Assisted Living of Orem South Villa Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Assisted Living of Orem North Villa3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1512518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512518400000",
    "number": "1063927531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 W 3150 S",
            "city": "SYRACUSE",
            "state": "UT",
            "postal_code": "840759094",
            "telephone_number": "888-999-9066",
            "fax_number": "888-999-9066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 S MAIN ST",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840586202",
            "telephone_number": "888-999-9066",
            "fax_number": "888-999-9066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURPLE CHAIR HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-06",
        "last_updated": "2017-12-06",
        "status": "A",
        "authorized_official_last_name": "DAINES",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "888-999-9066"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Assisted Living of Orem South Villa",
            "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 Dec 6, 2017; 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.