Provider Demographics
NPI:1154627099
Name:HEALTH INFORMATION CONSULTING, LLC
Entity Type:Organization
Organization Name:HEALTH INFORMATION CONSULTING, LLC
Other - Org Name:MOUNTAIN VALLEY ASSISTED LIVING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:A
Authorized Official - Last Name:LEMMON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-541-0246
Mailing Address - Street 1:4538 TANGLEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:HOLLADAY
Mailing Address - State:UT
Mailing Address - Zip Code:84117-4219
Mailing Address - Country:US
Mailing Address - Phone:801-541-0246
Mailing Address - Fax:801-273-5689
Practice Address - Street 1:3840 E SUNNYSIDE RD
Practice Address - Street 2:
Practice Address - City:AMMON
Practice Address - State:ID
Practice Address - Zip Code:83406-7922
Practice Address - Country:US
Practice Address - Phone:208-529-1818
Practice Address - Fax:208-529-1734
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HEALTH INFORMATION CONSULTING, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-02-09
Last Update Date:2011-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDRC 992310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility