Camp Kostopulos

LBN: Kostopulos Dream Foundation
Camp Kostopulos is an health care organization with primary practice located at 2500 Emigration Cyn , Salt Lake City UT 84108-1517. The organization recently has only one registered license in Respite Care Facility / Respite Care Camp, which is considered as the primary health care specialty. Kostopulos Dream Foundation can be contacted via phone (801) 582-0700, or through Ethington, Gary via phone (801) 582-0700.

Contact Information

Primary practice address
2500 Emigration Cyn Salt Lake City UT 84108-1517
Phone: (801) 582-0700
Fax: (801) 583-5176
Website:
Map and Directions
Authorized official contact:
Name: Ethington, Gary
Phone: (801) 582-0700

Health care specialties

SpecialtyCodeLicense #State
Respite Care Facility / Respite Care Camp 385HR2050X C126 Utah

Profile Details

NPI number 1427115245
LBN Legal business name Kostopulos Dream Foundation
DBA Doing business as Camp Kostopulos
Authorized official Ethington, Gary
Entity Organization
Organization subpart 1 No
Enumeration date Jan 2nd, 2007
Last updated Aug 22nd, 2020 - about 5 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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