Active NPI
Thatcher Brook Home Health Care, Inc
- Home Health Agency
- Layton, UT
National Provider Identifier
1043335029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- THATCHER BROOK HOME HEALTH CARE, INC
- Practice address
- 1133 N Main St
Suite 100
Layton, UT 84041-4800 - Phone
- (801) 546-4368
- Fax
- (801) 546-1053
- NPI assigned
- Mar 20, 2007
- 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
- Deven B Pettit
- Title
- Owner
- Phone
- (801) 546-4368
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
1133 N Main St
Suite 100
Layton, UT 84041-4800
Mailing address
360 S State St
Suite B
Clearfield, UT 84015-1892
Phone (801) 546-4368
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043335029 | Medicaid | UT |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1224028800000",
"number": "1043335029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "360 S STATE ST",
"address_2": "SUITE B",
"city": "CLEARFIELD",
"state": "UT",
"postal_code": "840151892",
"telephone_number": "801-546-4368",
"fax_number": "801-546-1053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1133 N MAIN ST",
"address_2": "SUITE 100",
"city": "LAYTON",
"state": "UT",
"postal_code": "840414800",
"telephone_number": "801-546-4368",
"fax_number": "801-546-1053"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THATCHER BROOK HOME HEALTH CARE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-20",
"last_updated": "2008-10-15",
"status": "A",
"authorized_official_last_name": "PETTIT",
"authorized_official_first_name": "DEVEN",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "801-546-4368"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1043335029",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Layton, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.