Pine Mountain Home Health, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

PINE MOUNTAIN HOME HEALTH, LLC

Practice address

1244 N Main St
Suite 103
Tooele, UT 84074-9838

Phone

(435) 248-0771

Fax

(435) 248-0777

NPI assigned

Sep 3, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Trace D. Osborne, CPA

Title

Accountant

Phone

(801) 277-3298

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1378166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392940800000",
    "number": "1053746594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 S HIGHLAND DR",
            "address_2": "SUITE 200",
            "city": "HOLLADAY",
            "state": "UT",
            "postal_code": "841177057",
            "telephone_number": "801-277-3298",
            "fax_number": "801-277-3598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1244 N MAIN ST",
            "address_2": "SUITE 103",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840749838",
            "telephone_number": "435-248-0771",
            "fax_number": "435-248-0777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINE MOUNTAIN HOME HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-03",
        "last_updated": "2014-02-21",
        "status": "A",
        "authorized_official_last_name": "OSBORNE",
        "authorized_official_first_name": "TRACE",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "ACCOUNTANT",
        "authorized_official_telephone_number": "801-277-3298",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Conner James Perrin, DC
• Hattie J Perry, R.N.
• Alexander Tucker Peterson, PHARMD
• Holly Ryan Peterson
• Addison Pickering
• Barry Vern Pitt
• John Piz
• Porter Family Chiropractic Inc
• Brett Cardon Porter, MD
• Kip C Porter, D.C.

• Community Based Hospice Care Agency in Tooele, UT
• Providers in Tooele, UT by specialty
• Community Based Hospice Care Agency in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2014; 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.