1925 N State Street Opco, LLC
Organization Active NPI Assisted Living Facility · Orem, UT
NPI 1558280974 · NPPES record last updated Jul 10, 2026
Key facts
- NPI
- 1558280974
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- Legal business name
- 1925 N STATE STREET OPCO, LLC
- Practice address
- 1925 N State St
Orem, UT 84057-2057 - Phone
- (801) 494-2020
- NPI assigned
- Jul 10, 2026
- Organization subpart
- No
Authorized official
- Name
- Candice Fine
- Title
- Chief Administrative Officer
- Phone
- (602) 900-9020
National Provider Directory
Locations
24901 Dana Point Harbor Dr
Ste A200
Dana Point, CA 92629
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Yes |
Addresses
Primary practice location
1925 N State St
Orem, UT 84057-2057
Mailing address
24901 Dana Point Harbor Dr Ste A200
Dana Point, CA 92629-2930
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All providers in Orem, UT · Assisted Living Facility in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 10, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.