Organization Active NPI

Willow Creek Health Care

  • Home Health Agency
  • Salt Lake City, UT
National Provider Identifier
1215938469
Registry record updated Jul 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
WILLOW CREEK HEALTH CARE
Doing business as
Willow Creek Home Care
Practice address
1935 Vine St
Suite 420
Salt Lake City, UT 84121-2192
Phone
(801) 281-9669
Fax
(801) 281-0179
NPI assigned
Aug 9, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2007

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
Administrator Cfo
Phone
(801) 281-9669

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X UT Primary

Addresses

Primary practice location

1935 Vine St
Suite 420
Salt Lake City, UT 84121-2192

Mailing address

1935 Vine St
Suite 420
Salt Lake City, UT 84121-2192
Phone (801) 281-9669

Other names 1

  • Willow Creek Home Care Doing business as

National Provider Directory

National Provider Directory

Locations

1436 S Legend Hills Dr
Ste 319
Clearfield, UT 84015
Phone (801) 776-1976

NPI Registry JSON

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185840000000",
    "number": "1215938469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1935 VINE ST",
            "address_2": "SUITE 420",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841212192",
            "telephone_number": "801-281-9669",
            "fax_number": "801-281-0179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1935 VINE ST",
            "address_2": "SUITE 420",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841212192",
            "telephone_number": "801-281-9669",
            "fax_number": "801-281-0179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW CREEK HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-09",
        "last_updated": "2007-07-31",
        "status": "A",
        "authorized_official_last_name": "OSBORNE",
        "authorized_official_first_name": "TRACE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "ADMINISTRATOR CFO",
        "authorized_official_telephone_number": "801-281-9669",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "UT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willow Creek Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2007; 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.