Canyon Rim Care Center

LBN: Avalon Care Center - Canyon Rim, Llc
Canyon Rim Care Center is an health care organization with primary practice located at 2730 E 3300 S , Salt Lake City UT 84109-2819. 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. Avalon Care Center - Canyon Rim, Llc can be contacted via phone (801) 487-0896, or through Lincoln, Faye via phone (801) 325-0153.

Contact Information

Primary practice address
2730 E 3300 S Salt Lake City UT 84109-2819
Phone: (801) 487-0896
Fax: (801) 487-0912
Website:
Map and Directions
Authorized official contact:
Name: Lincoln, Faye
Phone: (801) 325-0153

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 2004-NCF-105 Utah

Profile Details

NPI number 1639170384
LBN Legal business name Avalon Care Center - Canyon Rim, Llc
DBA Doing business as Canyon Rim Care Center
Authorized official Lincoln, Faye
Entity Organization
Organization subpart 1 No
Enumeration date Aug 3rd, 2005
Last updated May 2nd, 2016 - about 10 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 1639170384 NPPES
Utah MEDICAID 870426816000

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