NPIMap

Organization Active NPI

KT&T Ventures, LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Ogden, UT
National Provider Identifier
1437447018
Registry record updated Jul 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
KT&T VENTURES, LLC
Practice address
1140 36TH St Ste 285
Ogden, UT 84403-2064
Phone
(801) 897-8009
NPI assigned
Jul 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2011

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

Authorized official

Name
Jerald Jefferies, LCSWNPI 1407135775
Title
Manager
Phone
(801) 928-8567

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

1140 36TH St Ste 285
Ogden, UT 84403-2064

Mailing address

PO Box 3986
Salt Lake City, UT 84110-3986
Phone (801) 897-8009

National Provider Directory

National Provider Directory
Tax ID family
KTT Ventures LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1140 36th St
Ste 285
Ogden, UT 84403
Phone (801) 897-8009

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1310688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310688000000",
    "number": "1437447018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3986",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841103986",
            "telephone_number": "801-897-8009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 36TH ST STE 285",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844032064",
            "telephone_number": "801-897-8009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KT&T VENTURES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-15",
        "last_updated": "2011-07-15",
        "status": "A",
        "authorized_official_last_name": "JEFFERIES",
        "authorized_official_first_name": "JERALD",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "801-928-8567",
        "authorized_official_credential": "LCSW"
    },
    "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 Ogden, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2011; 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.