Organization Active NPI

Thatcher Brook Home Health Care, Inc

  • Home Health Agency
  • Layton, UT
National Provider Identifier
1043335029
Registry record updated Oct 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Oct 15, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1043335029MedicaidUT

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.