Organization Active NPI

Spring Gardens Draper Opco LLC

  • Assisted Living Facility
  • Draper, UT
National Provider Identifier
1346971892
Registry record updated Jun 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SPRING GARDENS DRAPER OPCO LLC
Practice address
1393 E Pioneer Rd
Draper, UT 84020-9640
Phone
(385) 386-3003
NPI assigned
Jun 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2022

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

Authorized official

Name
Candice Fine
Title
Authorized Agent
Phone
(480) 244-9173

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

1393 E Pioneer Rd
Draper, UT 84020-9640

Mailing address

1393 E Pioneer Rd
Draper, UT 84020-9640
Phone (385) 386-3003

Other names 1

  • Spring Gardens Draper Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
46D2200286Spring Gardens Draper1393 E Pioneer Rd, Draper, UT 84020Certificate of waiverNov 12, 2026

National Provider Directory

National Provider Directory

Locations

1393 E Pioneer Rd
Draper, UT 84020
Phone (385) 216-5147

NPI Registry JSON

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

{
    "created_epoch": "1655942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655942400000",
    "number": "1346971892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1393 E PIONEER RD",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840209640",
            "telephone_number": "385-386-3003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1393 E PIONEER RD",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840209640",
            "telephone_number": "385-386-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING GARDENS DRAPER OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-23",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A",
        "authorized_official_last_name": "FINE",
        "authorized_official_first_name": "CANDICE",
        "authorized_official_title_or_position": "AUTHORIZED AGENT",
        "authorized_official_telephone_number": "480-244-9173"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spring Gardens Draper",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Draper, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.