Dynamic Grace Home Health Care Services,Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

2011-HHA-102739 Issued in UT

Legal business name

DYNAMIC GRACE HOME HEALTH CARE SERVICES,INC

Practice address

6510 Tamra Dr
Taylorsville, UT 84084-5733

Phone

(801) 703-0658

NPI assigned

Jul 1, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Patricia O Otiede

Title

Administrator

Phone

(801) 703-0658

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1309478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324339200000",
    "number": "1194012799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6510 TAMRA DR",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "840845733",
            "telephone_number": "801-703-0658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6510 TAMRA DR",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "840845733",
            "telephone_number": "801-703-0658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC GRACE HOME HEALTH CARE SERVICES,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-01",
        "last_updated": "2011-12-20",
        "status": "A",
        "authorized_official_last_name": "OTIEDE",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "801-703-0658",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "UT",
            "license": "2011-HHA-102739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Durbano
• Danyelle Durrant
• Glenn Dutton, CPCI
• Natalie Dwight
• Angel Dyckman
• Britney Eardley
• Jason Stanely Earle
• Aspen Earnshaw
• Haley Eastman
• Helene Edelstein

• Home Health Agency in Taylorsville, UT
• Providers in Taylorsville, UT by specialty
• Home Health Agency in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.