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EZRA HEALTHCARE NPI 1003809369


NPI Information

NPI: 1003809369
Provider Name: EZRA HEALTHCARE

Doing Business As: A PLUS HEALTHCARE AT HOME

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 46D0978725

Address:
1443 N 1200 W
OREM, UT
ZIP 84057
Phone: (801) 225-0990
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EZRA HEALTHCARE is a hospice care community based in Orem, UT. EZRA HEALTHCARE NPI is 1003809369. The provider is registered as an organization entity type.
The provider Is Doing Business As A Plus Healthcare At Home.

The provider's business location address is:

1443 N 1200 W
OREM, UT
ZIP 84057-449
Phone: (801) 225-0990
Fax: (801) 225-4067

The provider's authorized official is Cody Campbell .
The authorized official title is Managing Director and has the following contact phone number (415) 770-4094.

The CLIA number assigned to this NPI record is 46D0978725 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/23/2005 and was last updated on 10/26/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251E00000XHome Health2003-HHA-16212UTAHNo
2251G00000XHospice Care, Community Based2005-HOSPICE-65159UTAHYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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