Healthcare Provider Details

I. General information

NPI: 1598684011
Provider Name (Legal Business Name): 301 N 1200 E OPCO, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 N 1200 E
LEHI UT
84043-2455
US

IV. Provider business mailing address

24901 DANA POINT HARBOR DR STE A200
DANA POINT CA
92629-2930
US

V. Phone/Fax

Practice location:
  • Phone: 385-484-8899
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: CANDICE FINE
Title or Position: CHIEF ADMINISTRATIVE OFFICER
Credential:
Phone: 602-900-9020