Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

East Lake Care Center, LLC

Organization Skilled Nursing Facility · NPI 1326093261

East Lake Care Center, LLC is a Skilled Nursing Facility in Provo, Utah. Licensed in Utah. Registered with an NPI since 2006.

Licensed in
UT
In the registry since
2006
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

101 N 500 W
Provo, UT 84601-2646 Not confirmed with CMS for 18 years — call before visiting
Phone: (801) 377-9661
Fax: (801) 377-9747
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X · Licence 2004-NCF-292 (UT)
Nursing Facility Supplies (DME) Taxonomy 332BN1400X · Licence 2007-NCF-292 (UT)
Parenteral & Enteral Nutrition Supplies (DME) Taxonomy 332BP3500X · Licence 2007-NCF-292 (UT)

Record details

NPI number1326093261
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Craig Johnson — Member · (801) 268-1122
NPI enumeratedMay 22, 2006
Last updated in NPPESJanuary 3, 2008
Mailing addressPo Box 57850, Murray, UT 84157-0850

Clinicians affiliated with this facility

Clinicians the CMS Facility Affiliation file lists at this facility.

Other providers in Provo