SOUTH DAVIS HOME HEALTH
NPI 1275560062
Home Health in Bountiful, UT

Q: What is Providential Bba Operating LP's NPI number?

The NPI number for Providential Bba Operating LP is 1275560062. It was assigned to this organization in the NPPES registry on June 27, 2006. The provider is doing business as South Davis Home Health.

Q: What is Providential Bba Operating LP's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Active since June 27, 2006

401 S 400 E, BOUNTIFUL, UT 84010(801) 295-2361(801) 295-1398 Get Directions Write a Review

NPPES record last updated: July 15, 2020. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About South Davis Home Health NPPES

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

SOUTH DAVIS HOME HEALTH (NPI 1275560062) is a healthcare organization registered as a home health in Bountiful, Utah and active in the NPI registry since June 2006. The organization lists Michelle Brown, Cfo, as its authorized official.

NPPES Registry Identity

NPI1275560062

Entity TypeOrganization

Primary Taxonomy251E00000X

Legal Business NamePROVIDENTIAL BBA OPERATING LP

Location Address401 S 400 EBountiful, UT 84010-4933

Mailing Address401 S 400 EBountiful, UT 84010-4933 · (801) 295-2361 · Fax (801) 295-1398

Phone(801) 295-2361

Fax(801) 295-1398

Organization SubpartNo

Authorized OfficialMichelle BrownCfo · (801) 397-8145

Enumeration DateJune 27, 2006

Last NPPES UpdateJuly 15, 2020

NPPES CertifiedJuly 15, 2020

✔ NPI 1275560062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies

Taxonomy Code251E00000X

License✔ Licensed in UT · 2006HHA649

Definition

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

401 S 400 E, Bountiful, UT 84010

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Other Names 1

Doing Business AsSouth Davis Home Health

Other Identifiers 1

Medicaid1275560062UT

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARGO EVANS TRS CTRS

Recreation Therapist

401 S 400 E
BOUNTIFUL, UT 84010

Davis County (801) 397-8150

ESTHER JULIENE GRANDY TRS, CTRS

Recreation Therapist

401 S 400 E
BOUNTIFUL, UT 84010

Davis County (801) 295-2361

TYLER ASHTON BRIDGEWATER FNP-C

Nurse Practitioner (Family)

401 S 400 E
BOUNTIFUL, UT 84010

Davis County (801) 295-2361

MISS BEVERLY LOUISE HOMER MS CCC SLP

Speech-Language Pathologist

401 S 400 E, BEVERLY HOMER MOUNTAIN LAND REHABILITATION
BOUNTIFUL, UT 84010

Davis County (801) 397-8151

MR. JAY D PARKER OTR L

Occupational Therapist

401 S 400 E
BOUNTIFUL, UT 84010

Davis County (801) 397-8151

PROVIDENTIAL BBA OPERATING LP

Nurse Practitioner

401 S 400 E
BOUNTIFUL, UT 84010

Davis County (801) 397-8145

ELLISON M KRUCKENBERG COTA/L

Occupational Therapy Assistant

401 S 400 E
BOUNTIFUL, UT 84010

Davis County (801) 295-2361

DAYNA EPPERSON OTR/L

Occupational Therapist

401 S 400 E
BOUNTIFUL, UT 84010

Davis County (801) 295-2361

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Providential Bba Operating LP's NPI number?

The NPI number for Providential Bba Operating LP is 1275560062. It was assigned to this organization in the NPPES registry on June 27, 2006. The provider is doing business as South Davis Home Health.

Where is Providential Bba Operating LP located?

Providential Bba Operating LP is located at 401 S 400 E, Bountiful, UT 84010. The listed phone number is (801) 295-2361.

What is Providential Bba Operating LP's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Providential Bba Operating LP was last updated on July 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.