Organization Active NPI

Rathburn Healthcare LLC

  • Home Health Agency
  • Salt Lake City, UT
National Provider Identifier
1255923827
Registry record updated Oct 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
RATHBURN HEALTHCARE LLC
Doing business as
Utah Home Nursing
Practice address
152 W Burton Ave Ste G
Salt Lake City, UT 84115-2651
Phone
(801) 560-2761
NPI assigned
Feb 5, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2022

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

Authorized official

Name
Kevin D Whatcott
Title
Ceo
Phone
(801) 560-2761

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

152 W Burton Ave Ste G
Salt Lake City, UT 84115-2651

Mailing address

152 W Burton Ave Ste G
Salt Lake City, UT 84115-2651
Phone (801) 560-2761

Other names 1

  • Utah Home Nursing Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210317002321 UT Part A Provider - Home Health Agency 7416363403 Practice locations: Montezuma Creek, UT; Monument Valley, UT

Home health agency certification: CCN 467363

Legal name
RATHBURN HEALTHCARE LLC
Doing business as
HOME NURSING FOR UTAH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 29, 2022
Last certification
Jun 16, 2022
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Feb 4, 2021 in UT
Enrollment address
516 Ut Hwy 162
Montezuma Creek, UT 84534-0973
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Home Nursing for UtahCCN 467363 · All quality measures
Ownership
Proprietary
Certified
Jun 29, 2022
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
Rathburn Healthcare LLC2 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.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Jeffrey Hagen Individual 5% Or Greater Direct Ownership InterestGeneral Counsel Jul 1, 2023 20%
Corporate OfficerGeneral Counsel Jul 1, 2023 20%
Corporate Director Jul 1, 2023 20%
W-2 Managing EmployeeGeneral Counsel Jul 1, 2023
Sanford Barrett Individual 5% Or Greater Direct Ownership InterestPresident/Board Member Jul 1, 2023 40%
Corporate OfficerBoard Member/President Feb 4, 2021
Corporate DirectorMember/President Feb 4, 2021
W-2 Managing EmployeeMember/President Feb 4, 2021
Kevin Whatcott Individual 5% Or Greater Direct Ownership InterestVice Pres Jul 1, 2023 40%
Corporate OfficerBoard Member/VP/Treasurer/Secret Feb 4, 2021
Corporate DirectorBoard Member/VP/Treasurer/Secret Feb 4, 2021
W-2 Managing EmployeeBoard Member/VP/Treasurer/Secret Feb 4, 2021

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Home Nursing for UtahSouth Salt Lake, UT, CCN 461516 Hospice 5% Or Greater Direct Ownership Interest (95%)
Operational/Managerial Control
Jul 1, 2023
Jul 1, 2023

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1612483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664841600000",
    "number": "1255923827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 W BURTON AVE STE G",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841152651",
            "telephone_number": "801-560-2761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 W BURTON AVE STE G",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841152651",
            "telephone_number": "801-560-2761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RATHBURN HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-05",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A",
        "authorized_official_last_name": "WHATCOTT",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "801-560-2761"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Utah Home Nursing",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Utah Home Nursing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.