Kim's New Star

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

KIM'S NEW STAR

Doing business as

Twin Oaks Senior Living

Practice address

654 E 3300 S
South Salt Lake, UT 84106-1270

Phone

(385) 500-2090

Fax

(385) 415-1776

NPI assigned

Sep 21, 2022

Last updated

Sep 21, 2022By 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

Joong Kim

Title

Owner

Phone

(385) 500-2090

Specialties & licenses 1

Addresses

Other names 1

• Twin Oaks Senior Living Doing business as

Locations

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

{
    "created_epoch": "1663718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663718400000",
    "number": "1740903038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "654 E 3300 S",
            "city": "SOUTH SALT LAKE",
            "state": "UT",
            "postal_code": "841061270",
            "telephone_number": "385-500-2090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "654 E 3300 S",
            "city": "SOUTH SALT LAKE",
            "state": "UT",
            "postal_code": "841061270",
            "telephone_number": "385-500-2090",
            "fax_number": "385-415-1776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM'S NEW STAR",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-21",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JOONG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "385-500-2090"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Twin Oaks Senior Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thomas Kasper, LLBSW
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• Michaela Kiersch
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• KN Medical Supplies Inc
• Troy Elizabeth Knight
• Jennifer Leigh Knott, RN
• Dylon Kohler

• Assisted Living Facility in South Salt Lake, UT
• Providers in South Salt Lake, 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 Sep 21, 2022; 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.