East Lake Care Center, Llc in Provo - Skilled Nursing Facility
East Lake Care Center, Llc - NPI 1326093261
East Lake Care Center, Llc is a Skilled Nursing Facility in Provo, Utah. East Lake Care Center, Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for East Lake Care Center, Llc is 1326093261. The last update date is 2008-01-03.
East Lake Care Center, Llc's current location address is 101 N 500 W, Provo, Utah. You can contact this provider via phone number 8013779661 and fax number 8013779747. The mailing address for East Lake Care Center, Llc is 101 N 500 W, Provo, Utah. To know further, please read the information below!
Provider Profile Detail
Provider Organization | East Lake Care Center, Llc |
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Address | 101 N 500 W, Provo, Utah |
Phone Number | 8013779661 |
Fax Number | 8013779747 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | MEMBER |
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Authorized Official Name | Johnson R Craig |
Telephone Number | 8012681122 |
NPI Number Detail
NPI Number | 1326093261 |
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Provider Enumeration Date | 2006-05-22 |
Last Updated Date | 2008-01-03 |
Provider Mailing Address Detail
Address | 101 N 500 W |
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City | Provo |
State | Utah (UT) |
Post Code | 846012646 |
Phone Number | 8013779661 |
Fax Number | 8013779747 |
Provider's Primary Taxonomy Detail
Speciality | Skilled Nursing Facility |
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Taxonomy | 314000000X |
Licence No | 2004-NCF-292 |
Definition: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
870439756011 | UT | -- |
Post Comment/ Review Below
What is the unique identifier code issued to East Lake Care Center, Llc by the Centers for Medicare & Medicaid Services?
The East Lake Care Center, Llc has been assigned the NPI (National Provider Identifier) 1326093261. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where East Lake Care Center, Llc's facilities are geographically located?
The facilities of East Lake Care Center, Llc are physically situated at the following location: 101 N 500 W, Provo, UT, 846012646.
What is the East Lake Care Center, Llc's specialty and taxonomy code?
The East Lake Care Center, Llc's specialty is Skilled Nursing Facility, and the corresponding taxonomy code is 314000000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1326093261 to East Lake Care Center, Llc?
The Centers for Medicare & Medicaid Services originally issued the 1326093261 to East Lake Care Center, Llc on 2006-05-22.
As of what date was the information regarding East Lake Care Center, Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to East Lake Care Center, Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-01-03.