Waikoloa

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

WAIKOLOA

Practice address

905 W 4000 S
Bountiful, UT 84010-8538

Phone

(801) 295-3171

Fax

(801) 295-5451

NPI assigned

Jan 29, 2013

Last updated

Jan 29, 2013By 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

Mrs. Carma J. Nelson-Billings, SOCIAL SERVICE WORKE

Title

Administrator

Phone

(801) 824-1771

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1359417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359417600000",
    "number": "1336487107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 N 1000 W",
            "city": "WEST BOUNTIFUL",
            "state": "UT",
            "postal_code": "840871930",
            "telephone_number": "801-824-1771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 W 4000 S",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840108538",
            "telephone_number": "801-295-3171",
            "fax_number": "801-295-5451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAIKOLOA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-29",
        "last_updated": "2013-01-29",
        "status": "A",
        "authorized_official_last_name": "NELSON-BILLINGS",
        "authorized_official_first_name": "CARMA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "801-824-1771",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "SOCIAL SERVICE WORKE"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "UT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ralph David Wade, D.O.
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• Jessica Keely Wahl, OT
• Savanah A. Wahlen
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• Jake Walden, DC
• Walgreen Co
• Walgreen Co (Walgreens #06183)

• Assisted Living Facility in Bountiful, UT
• Providers in Bountiful, 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 Jan 29, 2013; 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.