NPIMap

Organization Active NPI

Blue Tern Home Care

  • In Home Supportive Care Agency
  • Castle Dale, UT
National Provider Identifier
1033736475
Registry record updated Jul 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
BLUE TERN HOME CARE
Practice address
46 E Main St
Castle Dale, UT 84513-4504
Phone
(435) 650-3733
Fax
(435) 381-2255
NPI assigned
Jul 1, 2020
Last updated
Jul 1, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tara Jensen
Title
Cfo
Phone
(435) 630-4816

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

46 E Main St
Castle Dale, UT 84513-4504

Mailing address

PO Box 1171
Castle Dale, UT 84513-1171
Phone (435) 650-3733

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address taraj@blueternhc.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1593561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593561600000",
    "number": "1033736475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1171",
            "city": "CASTLE DALE",
            "state": "UT",
            "postal_code": "845131171",
            "telephone_number": "435-650-3733",
            "fax_number": "435-381-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 E MAIN ST",
            "city": "CASTLE DALE",
            "state": "UT",
            "postal_code": "845134504",
            "telephone_number": "435-650-3733",
            "fax_number": "435-381-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE TERN HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-01",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "435-630-4816"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "taraj@blueternhc.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "46 E Main St",
            "city": "Castle Dale",
            "state": "UT",
            "country_code": "US",
            "postal_code": "845134504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Castle Dale, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.