Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
PROVIDENTIAL BBA OPERATING LP
Active
Organization
PROVIDENTIAL BBA OPERATING LP
Active
Other names
South Davis Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE BROWN (CFO)
(801) 397-8145
Entity
Organization
Contact information
Practice address
401 S 400 E, BOUNTIFUL, UT 84010-4933
(801) 295-2361
(801) 295-1398
Mailing address
401 S 400 E, BOUNTIFUL, UT 84010-4933
(801) 295-2361
(801) 295-1398
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
2006HHA649
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275560062
—
UT
Enumeration date
06/27/2006
Last updated
07/15/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up