OREM HEALTHCARE LLC DBA SUN VALLEY ADULT CARE CENTER NPI 1083736763

NPI Information

NPI: 1083736763
Provider Name: OREM HEALTHCARE LLC DBA SUN VALLEY ADULT CARE CENTER
Classification: Respite Care - 385H00000X
Entity Type: Organization
Address:
3452 MIDDLEBURY WAY
BELLEVILLE, IL
ZIP 62221
Phone: (314) 868-2232
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OREM HEALTHCARE LLC DBA SUN VALLEY ADULT CARE CENTER is a respite care in Belleville, IL. OREM HEALTHCARE LLC DBA SUN VALLEY ADULT CARE CENTER NPI is 1083736763. The provider is registered as an organization entity type.

The provider's business location address is:

3452 MIDDLEBURY WAY
BELLEVILLE, IL
ZIP 62221-372
Phone: (314) 868-2232
Fax: (314) 868-8075

The provider's authorized official is Romana Aftab .
The authorized official title is Ceo and has the following contact phone number (618) 698-3479.

The enumeration date for this NPI number is 4/4/2007 and was last updated on 3/10/2017.

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	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities				No
2	385H00000X	Respite Care		632	MISSOURI	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	293895702	MEDICAID	MISSOURI

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: 5/5/2024

NPI Synchronization or Removal

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