Holladay Home Assisted Living LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

HOLLADAY HOME ASSISTED LIVING LLC

Doing business as

Holladay Home For The Elderly

Practice address

5950 S Highland Dr
Holladay, UT 84121-1328

Phone

(801) 277-8371

NPI assigned

Feb 10, 2020

Organization subpart

No

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

Authorized official

Name

Jacob Stein

Title

Owner

Phone

(801) 860-6906

Specialties & licenses 1

Addresses

Other names 1

• Holladay Home For The Elderly Doing business as

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

{
    "created_epoch": "1581292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581292800000",
    "number": "1558993337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3436 W 11520 S",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840958157",
            "telephone_number": "801-860-6906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5950 S HIGHLAND DR",
            "city": "HOLLADAY",
            "state": "UT",
            "postal_code": "841211328",
            "telephone_number": "801-277-8371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLADAY HOME ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-10",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A",
        "authorized_official_last_name": "STEIN",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-860-6906"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holladay Home For The Elderly",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Conor Hodgson, PA-C
• Marina Hoggan, MS
• Holladay Center Dental
• Holladay Dental Studio PLLC
• Holladay Dental Studio PLLC
• Holladay Home for the Elderly
• Holladay Modern Dentistry, LLP (Holladay Modern Dentistry)
• Holladay Opco LLC (Spring Gardens Holladay)
• Holladay Pharmacy Inc
• Holladay Psychological Services PLLC

• Assisted Living Facility in Holladay, UT
• Providers in Holladay, UT by specialty
• Assisted Living Facility in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2020; 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.