Ok Senior Housing Holladay

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

OK SENIOR HOUSING HOLLADAY

Practice address

4522 S 1300 E
SLC, UT 84117-4177

Phone

(801) 281-3477

Fax

(801) 268-1854

NPI assigned

Nov 21, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Devin S. Allred, BS, HFA, CAM, CMCA

Title

Executive Director

Phone

(801) 281-3477

Specialties & licenses 1

Addresses

Other names 1

• DBA The Wellington Senior Residence Doing business as

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083789770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4522 S 1300 E",
            "city": "SLC",
            "state": "UT",
            "postal_code": "841174177",
            "telephone_number": "801-281-3477",
            "fax_number": "801-268-1854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4522 S 1300 E",
            "city": "SLC",
            "state": "UT",
            "postal_code": "841174177",
            "telephone_number": "801-281-3477",
            "fax_number": "801-268-1854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OK SENIOR HOUSING HOLLADAY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALLRED",
        "authorized_official_first_name": "DEVIN",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "801-281-3477",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BS, HFA, CAM, CMCA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "UT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBA The Wellington Senior Residence",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Molly A O'Gorman, MD
• Stephanie Obrien, PC
• Odyssey House of Utah
• Sommer Ogzewalla
• Kylah Ohlson, RBT
• Barbara Joyce Olchek, R.PH.
• Ungatea Olive
• Lauren Joan Olson, PA
• Daniel W Ormsby, DDS
• Mitchell Orr, PT, DPT

• Assisted Living Facility in SLC, UT
• Providers in SLC, UT by specialty
• Assisted Living Facility in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.