Deseret Home Health, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

DESERET HOME HEALTH, LLC

Practice address

4111 W 2200 S
West Valley, UT 84120-5697

Phone

(801) 977-0699

Fax

(800) 506-7024

NPI assigned

Apr 17, 2012

Last updated

Apr 17, 2012By 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

Mr. Troy Lynn Jolley

Title

Owner/Operator

Phone

(801) 977-0699

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1334620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334620800000",
    "number": "1245597103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4111 W 2200 S",
            "city": "WEST VALLEY",
            "state": "UT",
            "postal_code": "841205697",
            "telephone_number": "801-977-0699",
            "fax_number": "800-506-7024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4111 W 2200 S",
            "city": "WEST VALLEY",
            "state": "UT",
            "postal_code": "841205697",
            "telephone_number": "801-977-0699",
            "fax_number": "800-506-7024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERET HOME HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-17",
        "last_updated": "2012-04-17",
        "status": "A",
        "authorized_official_last_name": "JOLLEY",
        "authorized_official_first_name": "TROY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "801-977-0699",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "UT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2012; 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.