Active NPI
Maximum Love at Home LLC
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Herriman, UT
National Provider Identifier
1306552260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Legal business name
- MAXIMUM LOVE AT HOME LLC
- Practice address
- 14487 S Ronan LN Unit 204
Herriman, UT 84096-1570 - Phone
- (385) 529-4802
- NPI assigned
- Jan 24, 2023
- 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
- Patricia Moala
- Title
- Manager
- Phone
- (385) 529-4802
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Primary |
Addresses
Primary practice location
14487 S Ronan LN Unit 204
Herriman, UT 84096-1570
Mailing address
14487 S Ronan LN Unit 204
Herriman, UT 84096-1570
Phone (385) 529-4802
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674518400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1674518400000",
"number": "1306552260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14487 S RONAN LN UNIT 204",
"city": "HERRIMAN",
"state": "UT",
"postal_code": "840961570",
"telephone_number": "385-529-4802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14487 S RONAN LN UNIT 204",
"city": "HERRIMAN",
"state": "UT",
"postal_code": "840961570",
"telephone_number": "385-529-4802"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAXIMUM LOVE AT HOME LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-24",
"last_updated": "2023-01-24",
"certification_date": "2023-01-24",
"status": "A",
"authorized_official_last_name": "MOALA",
"authorized_official_first_name": "PATRICIA",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "385-529-4802"
},
"taxonomies": [
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Herriman, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.