NPIMap

Organization Active NPI

Our House of Provo

  • Assisted Living Facility
  • Provo, UT
National Provider Identifier
1629326574
Registry record updated Aug 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
2012-ALII-106519 Issued in UT
Legal business name
OUR HOUSE OF PROVO
Practice address
462 S 900 E
Provo, UT 84606-5234
Phone
(801) 655-5090
NPI assigned
Aug 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2012

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

Authorized official

Name
Mr. Gene Spaulding
Title
Owner/Manager
Phone
(801) 655-5090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 2012-ALII-106519 UT Primary

Addresses

Primary practice location

462 S 900 E
Provo, UT 84606-5234

Mailing address

462 S 900 E
Provo, UT 84606-5234

National Provider Directory

National Provider Directory
Tax ID family
Our House of Orem I3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

462 S 900 E
Provo, UT 84606
Phone (801) 375-2270

NPI Registry JSON

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

{
    "created_epoch": "1346025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346025600000",
    "number": "1629326574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "462 S 900 E",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846065234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "462 S 900 E",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846065234",
            "telephone_number": "801-655-5090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR HOUSE OF PROVO",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-27",
        "last_updated": "2012-08-27",
        "status": "A",
        "authorized_official_last_name": "SPAULDING",
        "authorized_official_first_name": "GENE",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "801-655-5090",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "UT",
            "license": "2012-ALII-106519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Provo, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2012; 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.