Provider Demographics
NPI:1912339664
Name:ENTRUSTED CARE, LLC
Entity Type:Organization
Organization Name:ENTRUSTED CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:APRN
Authorized Official - Prefix:
Authorized Official - First Name:CORI
Authorized Official - Middle Name:
Authorized Official - Last Name:SAVILLE
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:435-862-3137
Mailing Address - Street 1:PO BOX 1182
Mailing Address - Street 2:113 S 200 E
Mailing Address - City:PAROWAN
Mailing Address - State:UT
Mailing Address - Zip Code:84761-0000
Mailing Address - Country:US
Mailing Address - Phone:435-272-2463
Mailing Address - Fax:855-630-9598
Practice Address - Street 1:113 S 200 E
Practice Address - Street 2:
Practice Address - City:PAROWAN
Practice Address - State:UT
Practice Address - Zip Code:84761
Practice Address - Country:US
Practice Address - Phone:435-272-2463
Practice Address - Fax:855-630-9598
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-05
Last Update Date:2013-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT8715062-0160253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care