Elder Care, LLC

Organization Active NPI Assisted Living Facility · Centerville, UT

NPI 1659435113 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1659435113
Entity type
Organization (NPI type 2)
Primary specialty
Assisted Living Facility 310400000X
License
2006-AL1-65937 (UT)
Legal business name
ELDER CARE, LLC
Practice address
71 E Center St
Centerville, UT 84014-2244
Phone
(801) 677-0178
NPI assigned
Dec 20, 2006
Organization subpart
No

Authorized official

Name
Mr. Norman J Younker, ESQ.
Title
Attorney
Phone
(801) 323-2214

Corporate family (same tax ID) 1

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

National Provider Directory

Tax ID family
Elder Care LLC (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 2006-AL1-65937 UT Yes

Addresses

Primary practice location

71 E Center St
Centerville, UT 84014-2244

Mailing address

215 S State St Ste 1200
Salt Lake City, UT 84111-2334
Phone (801) 323-2214

Other identifiers

IdentifierTypeStateIssuer
0900793812MedicaidUT

Other providers in Centerville, UT

All providers in Centerville, UT · Assisted Living Facility in Utah

Sources for this page

Verify at the official NPI Registry.