South Davis Hospice

LBN: Providential Bba Operating Lp
South Davis Hospice is an health care organization with primary practice located at 481 South 400 East , Bountiful UT 84010-8401. The organization recently has only one registered license in Agencies / Hospice Care, Community Based, which is considered as the primary health care specialty. Providential Bba Operating Lp can be contacted via phone (801) 295-2361, or through Bland, David A. via phone (801) 397-8101.

Contact Information

Primary practice address
481 South 400 East Bountiful UT 84010-8401
Phone: (801) 295-2361
Fax: (801) 295-1398
Website:
Map and Directions
Authorized official contact:
Name: Bland, David A.
Phone: (801) 397-8101

Health care specialties

SpecialtyCodeLicense #State
Agencies / Hospice Care, Community Based 251G00000X 2006HOSPICE842 Utah

Profile Details

NPI number 1215970835
LBN Legal business name Providential Bba Operating Lp
DBA Doing business as South Davis Hospice
Authorized official Bland, David A.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 13th, 2006
Last updated Jun 24th, 2020 - about 6 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 1215970835 NPPES
Utah MEDICAID 1215970835
Utah MEDICAID =========

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