East Lake Care Center, LLC
NPI 1326093261ActiveOrganization· Skilled Nursing Facility· Provo, UT
Skilled Nursing Facility in Provo, Utah, registered in NPPES in May 2006. The authorized official on file is Craig R. Johnson, Member.
Overview
| NPI | 1326093261 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 22, 2006 |
| Last updated in NPPES | Jan 3, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | 2004-NCF-292 | UT |
| Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies | 332BN1400X | 2007-NCF-292 | UT |
| Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | 332BP3500X | 2007-NCF-292 | UT |
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 |
|---|
Other Skilled Nursing Facility providers in Provo
- 1710431861
- 1962543355
- 1710210117
- 1043260771
- 1417199803
- 1093247488