Life Health Regeneration LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

LIFE HEALTH REGENERATION LLC

Practice address

1770 E Fort Union Blvd Ste 101
Salt Lake City, UT 84121-2881

Phone

(801) 997-8881

Fax

(801) 944-5910

NPI assigned

May 30, 2019

Last updated

May 30, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Matthew Wood, DC

Title

Owner

Phone

(801) 450-6940

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1559174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559174400000",
    "number": "1215595871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 E FORT UNION BLVD STE 101",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841212881",
            "telephone_number": "801-997-8881",
            "fax_number": "801-944-5910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 E FORT UNION BLVD STE 101",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841212881",
            "telephone_number": "801-997-8881",
            "fax_number": "801-944-5910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE HEALTH REGENERATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-30",
        "last_updated": "2019-05-30",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-450-6940",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Life Care at Home of Utah, Inc. (Affinity Hospice of Life)
• Life Care at Home of Utah, Inc.
• Life Changing Therapy
• Life Elevated Family Medicine & Counseling LLC
• Life Health Medical Center, Inc.
• Life Skills Vocational Center
• Lifepath Home Health Care, LLC
• Lifeskills Vocational Center
• Lifestyle Hearing of Utah
• Lifetime Products Inc.

• General Practice Physician in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• General Practice Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2019; 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.