BWL Family Holdings, LLC.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

2016-PCA-UT000728 Issued in UT

Legal business name

BWL FAMILY HOLDINGS, LLC.

Doing business as

ComForCare of Northern Utah

Practice address

88 W Center St
Logan, UT 84321-4538

Phone

(435) 754-7676

Fax

(801) 447-6886

NPI assigned

Feb 16, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Bruce William Lee

Title

President

Phone

(435) 754-7676

Specialties & licenses 1

Addresses

Other names 1

• ComForCare of Northern Utah Doing business as

Locations

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

{
    "created_epoch": "1455580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455580800000",
    "number": "1336508571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 E 2440 N",
            "city": "NORTH LOGAN",
            "state": "UT",
            "postal_code": "843411650",
            "telephone_number": "435-754-7676",
            "fax_number": "801-447-6886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 W CENTER ST",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843214538",
            "telephone_number": "435-754-7676",
            "fax_number": "801-447-6886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BWL FAMILY HOLDINGS, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-16",
        "last_updated": "2016-02-16",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "435-754-7676",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "UT",
            "license": "2016-PCA-UT000728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ComForCare of Northern Utah",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joshua Joel Burnham, DMD
• Crystal Anne Burtis, PHYSICIAN ASSISTANT
• Marci Kae Buttars, APRN
• Russell Jay Buttars, DPM
• Alan Buys
• Bradley Curtis Bybee, PA-C
• C & J Medical LLC
• Cache County Emergency Medical Services Authority
• Cache Employment and Training Center
• Cache Internal Medicine Inc

• In Home Supportive Care Agency in Logan, UT
• Providers in Logan, UT by specialty
• In Home Supportive Care Agency in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2016; 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.