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Active NPI 1053728543 Organization (Entity Type 2)

Ehs Centerville Llc

Assisted Living Facility • Centerville, UT

About Ehs Centerville Llc NPI 1053728543 Summary

Ehs Centerville Llc is a verified healthcare organization specializing in Assisted Living Facility operating in Centerville, UT. Located at 463 RAWLINS CIR, this facility provides patient care and medical services under National Provider Identifier (NPI) 1053728543.

Administrative operations and authorized compliance are overseen by Matthew Rasband (President).

Facility Location & Contact Primary Location

Facility Address

463 Rawlins Cir

Centerville, UT 840142104

Telephone 8016836521

Authorized Official Information

Authorized Contact Name

Matthew Rasband

Title / Role

President

Official Telephone

8016836521

Facility Classifications & Specialties

Assisted Living Facility Primary Taxonomy

NUCC Taxonomy Code: 310400000X

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.

Respite Care

NUCC Taxonomy Code: 385H00000X

Definition to come.

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
NPI Profile Active July 16, 2014

NPI status registered as active in NPPES database

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Updated Practice Location July 16, 2014

Registered at 463 RAWLINS CIR, CENTERVILLE, UT 840142104 (Tel: 8016836521)

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Updated Business Mailing Address July 16, 2014

Registered at 463 RAWLINS CIR, CENTERVILLE, UT 840142104 (Tel: 8016836521)

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Organization / Clinic Name Updated July 16, 2014

Operating as EHS CENTERVILLE LLC

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 16, 2014

Assisted Living Facility (License #2014-ALI-82394 in UT)

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Initial NPI Registration & Enumeration July 16, 2014

First registered as active Healthcare Organization in NPPES Database.

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NPI Organization Metadata

NPI Number: 1053728543
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: July 16, 2014
Last Update: July 16, 2014

Mailing Address

463 Rawlins Cir

Centerville, UT 840142104

Phone: 8016836521

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.