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.
Contact us