Organization
AURA PRIME SUPPORT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATILDA NAMUCHANA MASUMBA (CHIEF EXECUTIVE OFFICER)
(801) 815-3521
Entity
Organization
Contact information
Practice address
5689 W PINEY VIEW CT, SALT LAKE CITY, UT 84118-6059
(801) 815-3521
Mailing address
5689 W PINEY VIEW CT, SALT LAKE CITY, UT 84118-6059
(801) 815-3521
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
04/28/2026
Last updated
04/28/2026
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