Providential Bba Operating LP

Skilled Nursing Facility · Bountiful, UT

Organization Active NPI

NPI number 1154842250

Practice location

481 South 400 East
Bountiful, UT 84010-3801
Phone
(801) 295-2361

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NPI record

NPI
1154842250
Entity type
Organization (Type 2)
Enumeration date
June 29, 2017
Last updated
July 21, 2022
Certified
July 15, 2020
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Skilled Nursing Facility Primary 314000000X — —

Mailing address

485 E 500 S
Bountiful, UT 84010-3801
Phone
(801) 295-2361

Authorized official

Name
Michelle Brown
Title
CFO
Phone
(801) 397-8145

About Providential Bba Operating LP

Providential Bba Operating LP is a healthcare organization registered in the NPI registry with the primary taxonomy Skilled Nursing Facility (code 314000000X). The practice location is 481 South 400 East, Bountiful, UT 84010-3801. The NPI number 1154842250 was assigned on June 29, 2017 and the record was last updated on July 21, 2022.

The authorized official for this organization is Michelle Brown, CFO.

Frequently asked questions

What is the NPI number of Providential Bba Operating LP?

The NPI number is 1154842250.

What is the phone number of Providential Bba Operating LP?

The phone number listed for the practice location is (801) 295-2361.

Where is Providential Bba Operating LP located?

481 South 400 East, Bountiful, UT 84010-3801.

What is the taxonomy code for Providential Bba Operating LP?

The primary taxonomy code is 314000000X – Skilled Nursing Facility.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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