1. Home
  2. Directory
  3. Utah
  4. Slc
  5. Assisted Living Facility
  6. NPI Profile

DBA THE WELLINGTON SENIOR RESIDENCE
NPI 1083789770
Assisted Living Facility in Slc, UT

Active since November 21, 2006CLIA 46D2197389 · Waiver
4522 S 1300 E, SLC, UT 84117(801) 281-3477(801) 268-1854 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dba The Wellington Senior Residence NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DBA THE WELLINGTON SENIOR RESIDENCE (NPI 1083789770) is a healthcare organization registered as an assisted living facility in Slc, Utah and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through October 22, 2026 and lists Devin S. Allred, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1083789770
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameOK SENIOR HOUSING HOLLADAY
Location Address4522 S 1300 ESlc, UT 84117-4177
Mailing Address4522 S 1300 ESlc, UT 84117-4177 · (801) 281-3477 · Fax (801) 268-1854
Phone(801) 281-3477
Fax(801) 268-1854
Organization SubpartNo
Authorized OfficialDevin S. AllredExecutive Director · (801) 281-3477
Enumeration DateNovember 21, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1083789770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
4522 S 1300 E, Slc, UT 84117
Open in Google Maps ↗

Other Names 1

Doing Business AsDba The Wellington Senior Residence

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 46D2197389

The Wellington · Salt Lake City, UT
Active · expires Oct 22, 2026
CLIA Number46D2197389
Laboratory TypeAssisted Living Facility
Certificate Effective DateOctober 23, 2024
Certificate Expiration DateOctober 22, 2026
Laboratory DirectorGary Webster
Laboratory Phone(801) 281-3477
Laboratory LocationThe Wellington4522 S 1300 E, Salt Lake City, UT 84117
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL JONATHAN HALL DPT
Physical Therapist
4522 S 1300 E
MILLCREEK, UT 84117
Salt Lake County (385) 446-9881
WELLINGTON MSL, LLC
Assisted Living Facility
4522 S 1300 E
SALT LAKE CITY, UT 84117
Salt Lake County (801) 281-3477
SSSHT OPCO 4522 S 1300 E LLC
Assisted Living Facility
4522 S 1300 E
SALT LAKE CITY, UT 84117
Salt Lake County (801) 281-3477
LISA MARIE SCHIFF
Occupational Therapist
4522 S 1300 E
SALT LAKE CITY, UT 84117
Salt Lake County (385) 743-2171

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ok Senior Housing Holladay's NPI number?

The NPI number for Ok Senior Housing Holladay is 1083789770. It was assigned to this organization in the NPPES registry on November 21, 2006. The provider is doing business as Dba The Wellington Senior Residence.

Where is Ok Senior Housing Holladay located?

Ok Senior Housing Holladay is located at 4522 S 1300 E, Slc, UT 84117. The listed phone number is (801) 281-3477.

What is Ok Senior Housing Holladay's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Ok Senior Housing Holladay hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 46D2197389) is associated with this NPI, valid through October 22, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ok Senior Housing Holladay was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.