Provider Demographics
NPI:1619979986
Name:BEE HIVE SKILLED CARE HOME LLC
Entity Type:Organization
Organization Name:BEE HIVE SKILLED CARE HOME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:WARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-376-6185
Mailing Address - Street 1:1304 REDWOOD RD
Mailing Address - Street 2:
Mailing Address - City:SARATOGA SPRINGS
Mailing Address - State:UT
Mailing Address - Zip Code:84045-4734
Mailing Address - Country:US
Mailing Address - Phone:801-223-4344
Mailing Address - Fax:801-223-4348
Practice Address - Street 1:370 W 500 N
Practice Address - Street 2:
Practice Address - City:OREM
Practice Address - State:UT
Practice Address - Zip Code:84057-3880
Practice Address - Country:US
Practice Address - Phone:801-223-4344
Practice Address - Fax:801-223-4348
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-01
Last Update Date:2008-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT2007-SHCF-47328314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT465154Medicare Oscar/Certification