NPIMap

Organization Active NPI

Provo Care Center

  • Intellectual Disabilities Intermediate Care Facility
  • Provo, UT
National Provider Identifier
1598764862
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
2004-NCF-79 Issued in UT
Legal business name
PROVO CARE CENTER
Practice address
256 E Center St
Provo, UT 84606-3107
Phone
(180) 137-3877
Fax
(180) 137-3326
NPI assigned
Jul 19, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Catherine Lyn Plant, B.S.
Title
Administrator
Phone
(180) 373-8771

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 2004-NCF-79 UT Primary

Addresses

Primary practice location

256 E Center St
Provo, UT 84606-3107

Mailing address

PO Box 1933
256 East Center Street
Provo, UT 84603-1933
Phone (180) 137-3877

National Provider Directory

National Provider Directory
Tax ID family
Bungalow Care Center7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598764862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1933",
            "address_2": "256 EAST CENTER STREET",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846031933",
            "telephone_number": "180-137-3877",
            "fax_number": "180-137-3326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 E CENTER ST",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846063107",
            "telephone_number": "180-137-3877",
            "fax_number": "180-137-3326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVO CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PLANT",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "LYN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "180-373-8771",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "B.S."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "UT",
            "license": "2004-NCF-79",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Provo, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.