Provider Demographics
NPI:1194846535
Name:BCBU, INC
Entity Type:Organization
Organization Name:BCBU, INC
Other - Org Name:ROCKY MOUNTAIN HOME CARE - BLANDING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DEE
Authorized Official - Middle Name:R
Authorized Official - Last Name:BANGERTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-397-4000
Mailing Address - Street 1:350 E 300 S
Mailing Address - Street 2:STE 100
Mailing Address - City:BOUNTIFUL
Mailing Address - State:UT
Mailing Address - Zip Code:84010-4914
Mailing Address - Country:US
Mailing Address - Phone:801-397-4100
Mailing Address - Fax:801-397-4197
Practice Address - Street 1:28 N MAIN ST
Practice Address - Street 2:
Practice Address - City:BLANDING
Practice Address - State:UT
Practice Address - Zip Code:84511-2830
Practice Address - Country:US
Practice Address - Phone:435-678-3266
Practice Address - Fax:435-678-4054
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-03
Last Update Date:2007-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT2005-HHA-569251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health