OUR HOUSE OF PROVO NPI 1629326574

NPI Information

NPI: 1629326574
Provider Name: OUR HOUSE OF PROVO
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
462 S 900 E
PROVO, UT
ZIP 84606
Phone: (801) 655-5090
Get Directions

OUR HOUSE OF PROVO is an assisted living facility in Provo, UT. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. OUR HOUSE OF PROVO NPI is 1629326574. The provider is registered as an organization entity type.

The provider's business location address is:

462 S 900 E
PROVO, UT
ZIP 84606-234
Phone: (801) 655-5090

The provider's authorized official is Gene Spaulding .
The authorized official title is Owner/manager and has the following contact phone number (801) 655-5090.

The enumeration date for this NPI number is 8/27/2012 and was last updated on 8/27/2012.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	310400000X	Assisted Living Facility		2012-ALII-106519	UTAH	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	=========003	MEDICAID	UTAH

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: 11/14/2023

NPI Synchronization or Removal

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