Basic Information
| Provider Information | |||||||||
| NPI: | 1427537331 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | BUTTE CARE HOLDINGS, LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5200 N PALM AVE STE 107 | ||||||||
| Address2: | |||||||||
| City: | FRESNO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 937042225 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5599013147 | ||||||||
| FaxNumber: | 5592227040 | ||||||||
| Practice Location | |||||||||
| Address1: | 2400 CONTINENTAL DR | ||||||||
| Address2: | |||||||||
| City: | BUTTE | ||||||||
| State: | MT | ||||||||
| PostalCode: | 597016563 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4067236556 | ||||||||
| FaxNumber: | 4067236556 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/10/2018 | ||||||||
| LastUpdateDate: | 08/10/2018 | ||||||||
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| AuthorizedOfficialLastName: | BIGELOW | ||||||||
| AuthorizedOfficialFirstName: | BRANDON | ||||||||
| AuthorizedOfficialMiddleName: | DAVID | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT/CEO | ||||||||
| AuthorizedOfficialTelephone: | 5599013147 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 314000000X | MT | Y | Nursing & Custodial Care Facilities | Skilled Nursing Facility |
No ID Information.