OrganizationActive
Key Residential Services
NPI 1164542379 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Orem, UT
Provider details
- NPI number
- 1164542379
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Kenneth Ekong, Executive Director(801) 360-6357
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1361 S 740 E
Orem, UT 84097-8083
Phone: (801) 434-4389
Fax: (801) 434-4391
Street-level locationGet directions
Mailing address
3322 Monte Verde Dr
Salt Lake City, UT 84109-3227
Registry dates
- Enumerated
- 2007-03-30
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.