NPIMap

Organization Active NPI

Goal Home LLC

  • Foster Care Agency
  • West Jordan, UT
National Provider Identifier
1902118771
Registry record updated Jul 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foster Care AgencyTaxonomy code 253J00000X
License
15853 Issued in UT
Legal business name
GOAL HOME LLC
Practice address
2785 W 9000 S # 5
West Jordan, UT 84088-5585
Phone
(801) 808-5826
NPI assigned
Jul 9, 2010
Last updated
Jul 9, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2010

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

Authorized official

Name
Mrs. Kelly A OviattNPI 1811135262
Title
Program Director
Phone
(801) 808-5826

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foster Care Agency 253J00000X 15853 UT Primary

Addresses

Primary practice location

2785 W 9000 S # 5
West Jordan, UT 84088-5585

Mailing address

2785 W 9000 S # 5
West Jordan, UT 84088-5585
Phone (801) 808-5826

National Provider Directory

National Provider Directory

Locations

2785 W 9000 S
#5
West Jordan, UT 84088
Phone (801) 808-5826

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1278633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278633600000",
    "number": "1902118771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2785 W 9000 S # 5",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840885585",
            "telephone_number": "801-808-5826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2785 W 9000 S # 5",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840885585",
            "telephone_number": "801-808-5826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOAL HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-09",
        "last_updated": "2010-07-09",
        "status": "A",
        "authorized_official_last_name": "OVIATT",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "801-808-5826",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "UT",
            "license": "15853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Jordan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2010; 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.