Provider Demographics
NPI:1881031920
Name:BROPH'S PLACE, LLC
Entity Type:Organization
Organization Name:BROPH'S PLACE, LLC
Other - Org Name:EMERALD HOME HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:EILEEN
Authorized Official - Middle Name:B
Authorized Official - Last Name:KINTNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:435-640-0501
Mailing Address - Street 1:2563 MONITOR DR
Mailing Address - Street 2:
Mailing Address - City:PARK CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84060-6926
Mailing Address - Country:US
Mailing Address - Phone:435-640-0501
Mailing Address - Fax:435-214-7072
Practice Address - Street 1:500 DEER VALLEY DRIVE
Practice Address - Street 2:
Practice Address - City:PARK CITY
Practice Address - State:UT
Practice Address - Zip Code:84060-6926
Practice Address - Country:US
Practice Address - Phone:435-640-0501
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-30
Last Update Date:2013-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No315D00000XNursing & Custodial Care FacilitiesHospice, Inpatient
No385H00000XRespite Care FacilityRespite Care