NPIMap

Organization Active NPI

Mountain Mana Corp.

Doing business as Synergy HomeCare of Alta

  • In Home Supportive Care Agency
  • Murray, UT
National Provider Identifier
1447818018
Registry record updated May 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MOUNTAIN MANA CORP.
Doing business as
Synergy HomeCare of Alta
Practice address
975 E Woodoak LN Ste 230
Murray, UT 84117-7275
Phone
(801) 904-3285
Fax
(385) 347-5957
NPI assigned
May 30, 2019
Last updated
May 30, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2019

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

Authorized official

Name
Mr. David Coleman
Title
President
Phone
(801) 904-3285

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

975 E Woodoak LN Ste 230
Murray, UT 84117-7275

Mailing address

975 E Woodoak LN Ste 230
Murray, UT 84117-7275
Phone (801) 904-3285

Other names 1

  • Synergy HomeCare of Alta Doing business as

National Provider Directory

National Provider Directory

Locations

975 E Woodoak Ln
Ste 230
Murray, UT 84117
Phone (801) 904-3285

NPI Registry JSON

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

{
    "created_epoch": "1559174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559174400000",
    "number": "1447818018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 E WOODOAK LN STE 230",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841177275",
            "telephone_number": "801-904-3285",
            "fax_number": "385-347-5957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 E WOODOAK LN STE 230",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841177275",
            "telephone_number": "801-904-3285",
            "fax_number": "385-347-5957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN MANA CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-30",
        "last_updated": "2019-05-30",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-904-3285",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Synergy HomeCare of Alta",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 30, 2019; 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.