Healthcare Provider Details

I. General information

NPI: 1538082193
Provider Name (Legal Business Name): SUMMIT ASSISTED LIVING OF OREM LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2026
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

436 E 700 N
OREM UT
84097-4139
US

IV. Provider business mailing address

436 E 700 N
OREM UT
84097-4139
US

V. Phone/Fax

Practice location:
  • Phone: 801-602-1121
  • Fax:
Mailing address:
  • Phone: 801-602-1121
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376G00000X
TaxonomyNursing Home Administrator
License Number
License Number State

VIII. Authorized Official

Name: GENTRY RAMSAY
Title or Position: OWNER
Credential:
Phone: 801-602-1121