West Jordan Care Center

LBN: West Jordan Care Center
West Jordan Care Center is an health care organization with primary practice located at 3350 W 7800 S , West Jordan UT 84088-4506. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. West Jordan Care Center can be contacted via phone (801) 282-0686, or through Kelso, Gary M. via phone (801) 389-1523.

Contact Information

Primary practice address
3350 W 7800 S West Jordan UT 84088-4506
Phone: (801) 282-0686
Fax: (801) 282-9767
Website:
Map and Directions
Authorized official contact:
Name: Kelso, Gary M.
Phone: (801) 389-1523

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X 2004-NCF-470 Utah

Profile Details

NPI number 1871570374
LBN Legal business name West Jordan Care Center
DBA Doing business as
Authorized official Kelso, Gary M.
Entity Organization
Organization subpart 1 No
Enumeration date Dec 27th, 2005
Last updated Aug 22nd, 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 1871570374 NPPES
Utah MEDICAID 742561471031

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