Providential Bba Operating LP
NPI 1154842250ActiveOrganization· Skilled Nursing Facility· Bountiful, UT
Skilled Nursing Facility in Bountiful, Utah, registered in NPPES in June 2017. The authorized official on file is Michelle Brown, Cfo.
Overview
| NPI | 1154842250 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 29, 2017 |
| Last updated in NPPES | Jul 21, 2022 |
| Certified by provider | Jul 15, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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