Provider Demographics
NPI:1831350511
Name:ELDER CARE, LLC
Entity type:Organization
Organization Name:ELDER CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:NORMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:YOUNKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-323-2214
Mailing Address - Street 1:352 S 500 W
Mailing Address - Street 2:
Mailing Address - City:LOGAN
Mailing Address - State:UT
Mailing Address - Zip Code:84321-5118
Mailing Address - Country:US
Mailing Address - Phone:435-787-1484
Mailing Address - Fax:801-531-1716
Practice Address - Street 1:215 S STATE ST
Practice Address - Street 2:SUITE 1200
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84111-2319
Practice Address - Country:US
Practice Address - Phone:801-323-2214
Practice Address - Fax:801-531-1716
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-24
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT07-09115310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility