Extend Your Ohana LLC

Primary specialty

Foster Care AgencyTaxonomy code 253J00000X

Legal business name

EXTEND YOUR OHANA LLC

Practice address

4892 S Teal River Way
Murray, UT 84123-4362

Phone

(801) 879-6058

NPI assigned

May 3, 2021

Last updated

May 3, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Katja Tolo

Title

Manager

Phone

(801) 879-6058

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1620000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620000000000",
    "number": "1629651013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4892 S TEAL RIVER WAY",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841234362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4892 S TEAL RIVER WAY",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841234362",
            "telephone_number": "801-879-6058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTEND YOUR OHANA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-03",
        "last_updated": "2021-05-03",
        "certification_date": "2021-05-03",
        "status": "A",
        "authorized_official_last_name": "TOLO",
        "authorized_official_first_name": "KATJA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "801-879-6058"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2021; 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.