Organization Active NPI

Holladay Opco LLC

Doing business as Spring Gardens Holladay

  • Assisted Living Facility
  • Holladay, UT
National Provider Identifier
1407496938
Registry record updated Jan 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
HOLLADAY OPCO LLC
Doing business as
Spring Gardens Holladay
Practice address
2728 E 3900 S
Holladay, UT 84124-2013
Phone
(801) 432-7003
NPI assigned
Jan 13, 2020
Last updated
Jan 13, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2020

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

2728 E 3900 S
Holladay, UT 84124-2013

Mailing address

2728 E 3900 S
Holladay, UT 84124-2013
Phone (801) 432-7003

Other names 1

  • Spring Gardens Holladay 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
46D2195545Spring Gardens - Holladay2728 E 3900 S, Holladay, UT 84124Certificate of waiverOct 8, 2026

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1578873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578873600000",
    "number": "1407496938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2728 E 3900 S",
            "city": "HOLLADAY",
            "state": "UT",
            "postal_code": "841242013",
            "telephone_number": "801-432-7003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2728 E 3900 S",
            "city": "HOLLADAY",
            "state": "UT",
            "postal_code": "841242013",
            "telephone_number": "801-432-7003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLADAY OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-13",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "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 Holladay",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Holladay, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2020; 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.