Provider Demographics
NPI:1396823837
Name:NEB CARE NOW LLC
Entity Type:Organization
Organization Name:NEB CARE NOW LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROGER
Authorized Official - Middle Name:
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-936-0844
Mailing Address - Street 1:PO BOX 540753
Mailing Address - Street 2:
Mailing Address - City:NORTH SALT LAKE
Mailing Address - State:UT
Mailing Address - Zip Code:84054-0753
Mailing Address - Country:US
Mailing Address - Phone:801-936-0844
Mailing Address - Fax:801-936-0849
Practice Address - Street 1:190 E CENTER ST
Practice Address - Street 2:
Practice Address - City:NORTH SALT LAKE
Practice Address - State:UT
Practice Address - Zip Code:84054-1826
Practice Address - Country:US
Practice Address - Phone:801-936-0844
Practice Address - Fax:801-936-0849
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT=========001Medicaid
5578950001Medicare ID - Type UnspecifiedMEDICARE