NPI 1558280974

1925 N State Street Opco, LLC

Organisation Assisted Living Facility Orem, UT

Practice location

Address: 1925 N State St, Orem, UT 84057-2057
Phone: (801) 494-2020
Mailing address: 24901 Dana Point Harbor Dr STE A200, Dana Point, CA 92629-2930

Authorised official

Name: Candice Fine
Title: Chief Administrative Officer
Phone: (602) 900-9020

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

Other Assisted Living Facility providers in Utah →

Registry record

NPI: 1558280974
Entity type: Organization
NPI issued: 10 Jul 2026
Record last updated: 10 Jul 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.