Bountiful Care Center, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

2005-NCF-59821 Issued in UT

Legal business name

BOUNTIFUL CARE CENTER, LLC

Practice address

523 N Main St
Bountiful, UT 84010-6036

Phone

(801) 951-1600

Fax

(801) 951-1700

NPI assigned

Aug 3, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Faye Linclon

Title

VP Policy/Government Relations

Phone

(801) 325-0153

Specialties & licenses 1

Addresses

Other names 1

• Avalon Care Center - Bountiful LLC Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220313600000",
    "number": "1285635920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 N MAIN ST",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840106036",
            "telephone_number": "801-951-1600",
            "fax_number": "801-951-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 N MAIN ST",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840106036",
            "telephone_number": "801-951-1600",
            "fax_number": "801-951-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOUNTIFUL CARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-03",
        "last_updated": "2008-09-02",
        "status": "A",
        "authorized_official_last_name": "LINCLON",
        "authorized_official_first_name": "FAYE",
        "authorized_official_title_or_position": "VP POLICY/GOVERNMENT RELATIONS",
        "authorized_official_telephone_number": "801-325-0153"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "UT",
            "license": "2005-NCF-59821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avalon Care Center - Bountiful LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brandon Richard Bohn, DMD
• Jaymii Marie Bonadurer
• Caitlyn Bone
• Mekena Boone, RBT
• Kelli Borski
• Bountiful Counseling
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• Bountiful Eye Care PC
• Bountiful Family Healthcare

• Skilled Nursing Facility in Bountiful, UT
• Providers in Bountiful, UT by specialty
• Skilled Nursing Facility in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.