Mulberry Hollow Community Services

Primary specialty

Supports Brokerage AgencyTaxonomy code 251X00000X

Legal business name

MULBERRY HOLLOW COMMUNITY SERVICES

Practice address

2885 E Cherry Blossom LN
Holladay, UT 84117-4607

Phone

(801) 671-8407

NPI assigned

Oct 8, 2012

Last updated

Oct 8, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Evert Theodore PierceNPI 1942552476

Title

Executive Director

Phone

(801) 671-8407

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Evert Theodore Pierce

  • Contractor
  • Holladay, UT
  • NPI 1942552476
  NPD (past) Authorized official

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

{
    "created_epoch": "1349654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349654400000",
    "number": "1235481763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2885 E CHERRY BLOSSOM LN",
            "city": "HOLLADAY",
            "state": "UT",
            "postal_code": "841174607",
            "telephone_number": "801-671-8407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2885 E CHERRY BLOSSOM LN",
            "city": "HOLLADAY",
            "state": "UT",
            "postal_code": "841174607",
            "telephone_number": "801-671-8407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULBERRY HOLLOW COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-08",
        "last_updated": "2012-10-08",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "EVERT",
        "authorized_official_middle_name": "THEODORE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "801-671-8407"
    },
    "taxonomies": [
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": "UT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Peter Monson, ACMHC, MPA
• Gloria C Moore, DEM
• Lynette Moore
• Matthew George Morris, RN
• Mount Olympus Counseling Center, Inc.
• MVP Sports Science Institute Inc
• Chelsea Nagel, DPT
• National Birth Centers, Inc.
• Tessa Anne Netelbeek, DPT
• New Horizons Therapy Services

• Supports Brokerage Agency in Holladay, UT
• Providers in Holladay, UT by specialty
• Supports Brokerage Agency in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2012; 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.