Mountain Region Home Medical

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MOUNTAIN REGION HOME MEDICAL

Practice address

6591 S 475 E
6591 S 475 E
South Weber, UT 84405-9601

Phone

(801) 540-6930

NPI assigned

Feb 15, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Willaim Michael Poff

Title

Director

Phone

(801) 540-6930

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1297728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297728000000",
    "number": "1144527938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6591 S 475 E",
            "address_2": "6591 S 475 E",
            "city": "SOUTH WEBER",
            "state": "UT",
            "postal_code": "844059601",
            "telephone_number": "801-540-6930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6591 S 475 E",
            "address_2": "6591 S 475 E",
            "city": "SOUTH WEBER",
            "state": "UT",
            "postal_code": "844059601",
            "telephone_number": "801-540-6930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN REGION HOME MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-15",
        "last_updated": "2011-02-15",
        "status": "A",
        "authorized_official_last_name": "POFF",
        "authorized_official_first_name": "WILLAIM",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "801-540-6930",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "UT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roxanne Hastings, RBT
• John William Henderson, ATC
• Brandi Jackson, DPT
• Diana L Lewis, L.M.T.
• Richard Thomas Mackay, CMHC
• My Home Medical LLC
• Petersen Farms Assisted Living & Memory Care
• Shandra Kaye Pipkin, M.ED, BCBA
• Pryme Corp.
• Redefined Therapy and Coaching, PLLC

• Durable Medical Equipment & Medical Supplies in South Weber, UT
• Providers in South Weber, UT by specialty
• Durable Medical Equipment & Medical Supplies in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2011; 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.