Active NPI
Rathburn Healthcare LLC
- Home Health Agency
- Salt Lake City, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- Incorporated
- Feb 4, 2021 in UT
- Enrollment address
- 516 Ut Hwy 162
Montezuma Creek, UT 84534-0973
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Home Nursing for Utah
- Ownership
- Proprietary
- Certified
- Jun 29, 2022
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider Directory- Tax ID family
- Rathburn Healthcare LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- South Salt Lake, UT
- NPI 1043744782
Member organizations 1
Organizations listed as members of this organization in the National Provider Directory.
-
- Community Based Hospice Care Agency
- South Salt Lake, UT
- NPI 1841721131
Member Of
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Jeffrey Hagen | 5% Or Greater Direct Ownership Interest | Jul 1, 2023 | 20% |
| Corporate Officer | Jul 1, 2023 | 20% | |
| Corporate Director | Jul 1, 2023 | 20% | |
| W-2 Managing Employee | Jul 1, 2023 | ||
| Sanford Barrett | 5% Or Greater Direct Ownership Interest | Jul 1, 2023 | 40% |
| Corporate Officer | Feb 4, 2021 | ||
| Corporate Director | Feb 4, 2021 | ||
| W-2 Managing Employee | Feb 4, 2021 | ||
| Kevin Whatcott | 5% Or Greater Direct Ownership Interest | Jul 1, 2023 | 40% |
| Corporate Officer | Feb 4, 2021 | ||
| Corporate Director | Feb 4, 2021 | ||
| W-2 Managing Employee | 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Home Nursing for Utah | 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.
-
- Community Based Hospice Care Agency
- South Salt Lake, UT
- NPI 1841721131
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.