Active NPI
Key Residential Services
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Orem, UT
National Provider Identifier
1164542379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
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- Taylorsville, UT
- NPI 1639156649
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.