Organization Active NPI

Key Residential Services

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Orem, UT
National Provider Identifier
1164542379
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
KEY RESIDENTIAL SERVICES
Practice address
1361 S 740 E
Orem, UT 84097-8083
Phone
(801) 434-4389
Fax
(801) 434-4391
NPI assigned
Mar 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Kenneth E Ekong, MSW
Title
Executive Director
Phone
(801) 360-6357

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X UT Primary

Addresses

Primary practice location

1361 S 740 E
Orem, UT 84097-8083

Mailing address

3322 Monte Verde Dr
Salt Lake City, UT 84109-3227
Phone (801) 360-6357

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164542379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3322 MONTE VERDE DR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841093227",
            "telephone_number": "801-360-6357",
            "fax_number": "801-434-4391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1361 S 740 E",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840978083",
            "telephone_number": "801-434-4389",
            "fax_number": "801-434-4391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEY RESIDENTIAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EKONG",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "801-360-6357",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "UT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 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.