DEREK NIELSEN - NPI 1194143412 - Foster Care Agency in Brigham City, UT

Q: What is Derek Nielsen's NPI number?

The NPI number for Derek Nielsen is 1194143412. It was assigned to this individual provider in the NPPES registry on April 3, 2014.

Q: What is Derek Nielsen's specialty?

The primary specialty registered for this NPI is Foster Care Agency with taxonomy code 253J00000X.

Q: When was this NPI record last updated?

The NPPES record for Derek Nielsen was last updated on April 3, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Derek Nielsen NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEREK NIELSEN (NPI 1194143412) is an individual foster care agency provider in Brigham City, Utah and active in the NPI registry since April 2014.

NPPES Registry Identity

NPI1194143412

Entity TypeIndividualMale

Primary Taxonomy253J00000X

Provider Legal NameDEREK NIELSEN

Location Address862 S MAIN STBrigham City, UT 84302-3320

Mailing Address862 S Main StBrigham City, UT 84302-3320 · (435) 723-1799

Phone(435) 723-1799

Sole ProprietorYes

Enumeration DateApril 3, 2014

✔ NPI 1194143412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFoster Care AgencyAgencies

Taxonomy Code253J00000X

Definition

A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as 24-hour substitute care for children outside their own homes. Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes.

862 S MAIN ST, Brigham City, UT 84302

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