Providential Bba Operating Lp

LBN: Providential Bba Operating Lp
Providential Bba Operating Lp is an health care organization with primary practice located at 481 South 400 East , Bountiful UT 84010-3801. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Providential Bba Operating Lp can be contacted via phone (801) 295-2361, or through Brown, Michelle via phone (801) 397-8145.

Contact Information

Primary practice address
481 South 400 East Bountiful UT 84010-3801
Phone: (801) 295-2361
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Brown, Michelle
Phone: (801) 397-8145

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X

Profile Details

NPI number 1154842250
LBN Legal business name Providential Bba Operating Lp
DBA Doing business as
Authorized official Brown, Michelle
Entity Organization
Organization subpart 1 No
Enumeration date Jun 29th, 2017
Last updated Jul 21st, 2022 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1154842250 NPPES
Utah MEDICAID 1154842250

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