Healthcare Provider Details

I. General information

NPI: 1780571497
Provider Name (Legal Business Name): BELLEVUE HEALTH CONSULTING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2025
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

875 W RED CLIFFS DR
WASHINGTON UT
84780-1564
US

IV. Provider business mailing address

875 W RED CLIFFS DR STE 9
WASHINGTON UT
84780-1586
US

V. Phone/Fax

Practice location:
  • Phone: 435-559-4006
  • Fax:
Mailing address:
  • Phone: 435-559-4006
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: JORDAN SALUMU MASUDI
Title or Position: CEO
Credential:
Phone: 435-559-4006