Providential Bba Operating Lp in Bountiful - Long Term Care Hospital

Providential Bba Operating Lp - NPI 1982647103

Providential Bba Operating Lp is a Long Term Care Hospital in Bountiful, Utah. Providential Bba Operating Lp practices all healthcare services and medical treatments related to Long Term Care Hospital. The NPI Number for Providential Bba Operating Lp is 1982647103. The last update date is 2020-06-22.

Providential Bba Operating Lp's current location address is 401 South 400 East, Bountiful, Utah. You can contact this provider via phone number 8012952361 and fax number 8012951398. The mailing address for Providential Bba Operating Lp is 401 South 400 East, Bountiful, Utah. To know further, please read the information below!

Provider Profile Detail

Provider Organization Providential Bba Operating Lp
Address 401 South 400 East, Bountiful, Utah
Phone Number 8012952361
Fax Number 8012951398
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CEO
Authorized Official Name Bland A. David
Telephone Number 8013978101

NPI Number Detail

NPI Number 1982647103
Provider Enumeration Date 2006-06-14
Last Updated Date 2020-06-22

Provider Mailing Address Detail

Address 401 South 400 East
City Bountiful
State Utah (UT)
Post Code 84010
Phone Number 8012952361
Fax Number 8012951398

Provider's Primary Taxonomy Detail

Speciality Long Term Care Hospital
Taxonomy 282E00000X
Licence No 2016HOSP207
Definition:
Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1982647103 UT --

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FAQs about Providential Bba Operating Lp

What is the unique 10-digit identification code assigned to Providential Bba Operating Lp by the Centers for Medicare & Medicaid Services?

The Providential Bba Operating Lp has been issued the NPI (National Provider Identifier) 1982647103, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Providential Bba Operating Lp is geographically located?

The Providential Bba Operating Lp is physically situated at the following location: 401 South 400 East, Bountiful, UT, 84010.

What is Providential Bba Operating Lp's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Providential Bba Operating Lp is Long Term Care Hospital, and the taxonomy code that categorizes this field of expertise is 282E00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1982647103 to Providential Bba Operating Lp?

The Centers for Medicare & Medicaid Services originally issued the 1982647103 to Providential Bba Operating Lp on 2006-06-14.

When was the information pertaining to Providential Bba Operating Lp most recently updated or revised?

The details related to Providential Bba Operating Lp, including its address, specialty, and other relevant information, were last updated or revised on 2020-06-22.

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