Organization Active NPI

Gleason Enterprises LLC

Doing business as FirstLight Home Care South Valley

  • In Home Supportive Care Agency
  • Draper, UT
National Provider Identifier
1033782669
Registry record updated Jul 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
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, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2021

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.