Active NPI
Gleason Enterprises LLC
Doing business as FirstLight Home Care South Valley
- In Home Supportive Care Agency
- Draper, UT
National Provider Identifier
1033782669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- GLEASON ENTERPRISES LLC
- Doing business as
- FirstLight Home Care South Valley
- Practice address
- 609 E Cougar Ridge Rd
Draper, UT 84020-7825 - Phone
- (801) 867-0121
- NPI assigned
- Jul 21, 2021
- Last updated
- Jul 21, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Karli Ross
- Title
- Owner
- Phone
- (801) 867-0121
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | NU | Primary |
Addresses
Primary practice location
609 E Cougar Ridge Rd
Draper, UT 84020-7825
Mailing address
609 E Cougar Ridge Rd
Draper, UT 84020-7825
Phone (801) 867-0121
Other names 1
- FirstLight Home Care South Valley
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626825600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1626825600000",
"number": "1033782669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "609 E COUGAR RIDGE RD",
"city": "DRAPER",
"state": "UT",
"postal_code": "840207825",
"telephone_number": "801-867-0121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "609 E COUGAR RIDGE RD",
"city": "DRAPER",
"state": "UT",
"postal_code": "840207825",
"telephone_number": "801-867-0121"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GLEASON ENTERPRISES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-07-21",
"last_updated": "2021-07-21",
"certification_date": "2021-07-19",
"status": "A",
"authorized_official_last_name": "ROSS",
"authorized_official_first_name": "KARLI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "801-867-0121"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "FirstLight Home Care South Valley",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Draper, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.