Imperial Healing Estate

LBN: Imperial Healing Estate
Imperial Healing Estate is an health care organization with primary practice located at 4194 Imperial Way , Provo UT 84604-5328. The organization recently has 4 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adolescent and Children Mental Health, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, Residential Treatment Facilities / Psychiatric Residential Treatment Facility, Residential Treatment Facilities / Substance Abuse Treatment, Children. Residential Treatment Facilities / Psychiatric Residential Treatment Facility is the primary health care specialty. Imperial Healing Estate can be contacted via phone (385) 312-0352, or through Burr, Lorna via phone (801) 598-7765.

Contact Information

Primary practice address
4194 Imperial Way Provo UT 84604-5328
Phone: (385) 312-0352
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Burr, Lorna
Phone: (801) 598-7765

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X
Residential Treatment Facilities / Psychiatric Residential Treatment Facility 323P00000X
Residential Treatment Facilities / Substance Abuse Treatment, Children 3245S0500X

Profile Details

NPI number 1033606298
LBN Legal business name Imperial Healing Estate
DBA Doing business as
Authorized official Burr, Lorna
Entity Organization
Organization subpart 1 No
Enumeration date Apr 13th, 2018
Last updated Sep 30th, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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