Organization Active NPI

Golden Dove LLC

  • Adult Care Home Facility
  • Murray, UT
National Provider Identifier
1407636079
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
GOLDEN DOVE LLC
Practice address
5286 S Commerce Dr Ste A136
Murray, UT 84107-4765
Phone
(385) 487-7373
NPI assigned
Oct 2, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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

Authorized official

Name
Mr. Maake Sami Uluiviti, MU
Title
Owner
Phone
(801) 989-2473

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

5286 S Commerce Dr Ste A136
Murray, UT 84107-4765

Mailing address

5286 S Commerce Dr Ste A136
Murray, UT 84107-4765
Phone (385) 487-7373

National Provider Directory

National Provider Directory

Locations

5286 S Commerce Dr
Ste A136
Murray, UT 84107
Phone (385) 487-7373

NPI Registry JSON

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

{
    "created_epoch": "1696204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696204800000",
    "number": "1407636079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5286 S COMMERCE DR STE A136",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841074765",
            "telephone_number": "385-487-7373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5286 S COMMERCE DR STE A136",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841074765",
            "telephone_number": "385-487-7373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN DOVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-02",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A",
        "authorized_official_last_name": "ULUIVITI",
        "authorized_official_first_name": "MAAKE",
        "authorized_official_middle_name": "SAMI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-989-2473",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MU"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.

Verify at the official NPI Registry.