CACHE VALLEY SENIOR LIVING COMMUNITY
NPI 1891911145
Assisted Living Facility in Providence, UT

Q: What is Providence City, LLC's NPI number?

The NPI number for Providence City, LLC is 1891911145. It was assigned to this organization in the NPPES registry on April 17, 2007. The provider is doing business as Cache Valley Senior Living Community.

Q: What is Providence City, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Active since April 17, 2007

233 N MAIN ST, PROVIDENCE, UT 84332(435) 792-4770 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Cache Valley Senior Living Community NPPES

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

CACHE VALLEY SENIOR LIVING COMMUNITY (NPI 1891911145) is a healthcare organization registered as an assisted living facility in Providence, Utah and active in the NPI registry since April 2007. The organization lists Jon Harder, Manager, as its authorized official.

NPPES Registry Identity

NPI1891911145

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NamePROVIDENCE CITY, LLC

Location Address233 N MAIN STProvidence, UT 84332-9622

Mailing Address3723 Fairview Industrial Dr Se Ste 270Salem, OR 97302-4975 · (503) 485-4600

Phone(435) 792-4770

Organization SubpartNo

Authorized OfficialJon HarderManager · (503) 485-4600

Enumeration DateApril 17, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1891911145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

233 N MAIN ST, Providence, UT 84332

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Other Names 1

Doing Business AsCache Valley Senior Living Community

Other Providers at the Same Location NPPES

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

CACHE VALLEY ASSISTED LIVING

Assisted Living Facility

233 N MAIN ST
PROVIDENCE, UT 84332

Cache County (435) 972-4770

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 Providence City, LLC's NPI number?

The NPI number for Providence City, LLC is 1891911145. It was assigned to this organization in the NPPES registry on April 17, 2007. The provider is doing business as Cache Valley Senior Living Community.

Where is Providence City, LLC located?

Providence City, LLC is located at 233 N Main St, Providence, UT 84332. The listed phone number is (435) 792-4770.

What is Providence City, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Providence City, LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.