EAST LAKE CARE CENTER, LLC
NPI 1326093261
Skilled Nursing Facility in Provo, UT

Active since May 22, 2006
101 N 500 W, PROVO, UT 84601(801) 377-9661(801) 377-9747 Get Directions Write a Review

NPPES record last updated: January 3, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About East Lake Care Center, Llc NPPES

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

EAST LAKE CARE CENTER, LLC (NPI 1326093261) is a healthcare organization registered as a skilled nursing facility in Provo, Utah and active in the NPI registry since May 2006. The organization lists Craig R Johnson, Member, as its authorized official.

NPPES Registry Identity

NPI1326093261
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameEAST LAKE CARE CENTER, LLC
Location Address101 N 500 WProvo, UT 84601-2646
Mailing AddressPo Box 57850Murray, UT 84157-0850 · (801) 268-1122 · Fax (801) 268-1150
Fax(801) 377-9747
Organization SubpartNo
Authorized OfficialCraig R JohnsonMember · (801) 268-1122
Enumeration DateMay 22, 2006
Last NPPES UpdateJanuary 3, 2008
NPI 1326093261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in UT · 2004-NCF-292
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
Also ListedDurable Medical Equipment & Medical Supplies · Nursing Facility SuppliesTaxonomy 332BN1400X · License 2007-NCF-292 (UT)
Also ListedDurable Medical Equipment & Medical Supplies · Parenteral & Enteral NutritionTaxonomy 332BP3500X · License 2007-NCF-292 (UT)
101 N 500 W, Provo, UT 84601

Other Identifiers 3

Medicaid870439756011UT
Medicare ID-Type Unspecified465119UT
Medicare NSC5706550001UT

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 East Lake Care Center, LLC's NPI number?

The NPI number for East Lake Care Center, LLC is 1326093261. It was assigned to this organization in the NPPES registry on May 22, 2006.

Where is East Lake Care Center, LLC located?

East Lake Care Center, LLC is located at 101 N 500 W, Provo, UT 84601. The listed phone number is (801) 377-9661.

What is East Lake Care Center, LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

When was this NPI record last updated?

The NPPES record for East Lake Care Center, LLC was last updated on January 3, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.