NPIMap

Organization Active NPI

Silver Lake Healthcare, Inc.

Doing business as Symbii Home Health

  • Home Health Agency
  • Layton, UT
National Provider Identifier
1184914772
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SILVER LAKE HEALTHCARE, INC.
Doing business as
Symbii Home Health
Practice address
1916 N 700 W Ste 110
Layton, UT 84041-5754
Phone
(801) 444-0221
Fax
(801) 444-2658
NPI assigned
Apr 15, 2011
Last updated
Jun 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Authorized official

Name
Amber L Tueller
Title
Secretary
Phone
(208) 207-2726

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1916 N 700 W Ste 110
Layton, UT 84041-5754

Mailing address

1916 N 700 W Ste 110
Layton, UT 84041-5754
Phone (801) 444-0221

Other names 1

  • Symbii Home Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110815000117 UT Part A Provider - Home Health Agency 9436328184 Practice locations: Layton, UT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1184914772. Details of each certification follow.

Home health agency certification: CCN 467231

Legal name
SILVER LAKE HEALTHCARE INC
Doing business as
SYMBII HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 12, 2007
Last certification
Dec 2, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Apr 1, 2011 in NV
Enrollment address
1916 N 700 W
Ste 110
Layton, UT 84041-5754

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
Symbii Home HealthCCN 467231 · All quality measures
Overall star rating
5 of 5
Ownership
Proprietary
Certified
Jan 12, 2007
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Silver Lake Healthcare Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Networks

  • UT PPOPlans: DEVOTED CHOICE GIVEBACK 002 UT (PPO) (H4473-002-000, H4473); DEVOTED CHOICE 001 UT (PPO) (H4473-001-000, H4473)

Ownership & related parties

All disclosed owners & managing parties 7

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Larson Alder Individual W-2 Managing EmployeeAdministrator Nov 1, 2019
Cornerstone Healthcare Inc Organization, Eagle, ID Corporation, For-profit 5% Or Greater Direct Ownership Interest May 15, 2011 100%
Brent Mills Individual Corporate OfficerTreasurer Apr 20, 2026
Brent Guerisoli Individual Corporate OfficerPresident May 1, 2018
The Pennant Group Inc Organization, Eagle, ID Corporation, For-profit 5% Or Greater Indirect Ownership Interest Oct 1, 2019 100%
John J Gochnour Individual Corporate OfficerPresident Feb 2, 2024
Amber Tueller Individual Corporate OfficerSecretary Apr 16, 2025

Facilities with the same owner 141

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 141

Practitioners & affiliated clinicians

Affiliated clinicians 33

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1302825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749513600000",
    "number": "1184914772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1916 N 700 W STE 110",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840415754",
            "telephone_number": "801-444-0221",
            "fax_number": "801-444-2658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1916 N 700 W STE 110",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840415754",
            "telephone_number": "801-444-0221",
            "fax_number": "801-444-2658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER LAKE HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-15",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A",
        "authorized_official_last_name": "TUELLER",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "208-207-2726"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Symbii Home Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Symbii Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Layton, UT

Sources for this page

Verify at the official NPI Registry.