=====================================================
General NPI Number Information
=====================================================
NPI Number | 1881539690
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ONE PURPOSE LIVING L.L.C.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/20/2026
-----------------------------------------------------
Last Update Date | 04/20/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 669 W WOODRUN WAY
-----------------------------------------------------
City | SARATOGA SPRINGS
-----------------------------------------------------
State | UT
-----------------------------------------------------
Zip | 84045-5783
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 801-916-6442
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5053 E RUSTIC PATCH RD
-----------------------------------------------------
City | EAGLE MOUNTAIN
-----------------------------------------------------
State | UT
-----------------------------------------------------
Zip | 84005-6572
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 801-916-6442
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | EXECUTIVE DIRECTOR
-----------------------------------------------------
Name | BARON NAWAHINE
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 801-916-6442
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------