Dignity Home Health of Utah

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

DIGNITY HOME HEALTH OF UTAH

Practice address

174 S 1100 E
American Fork, UT 84003-2817

Phone

(801) 492-4892

Fax

(801) 770-3322

NPI assigned

Nov 22, 2010

Last updated

Dec 12, 2020By 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. Jon Conrad Mather

Title

Ceo / Owner

Phone

(801) 492-4892

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1346542453. Details of each certification follow.

• CCN 467239 Home health agency · Active · Details

Home health agency certification: CCN 467239

Legal name

DIGNITY HOME HEALTH OF UTAH

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jul 27, 2007

Last certification

Feb 13, 2019

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Sep 29, 2010 in UT

Enrollment address

174 S 1100 E
American Fork, UT 84003-2817
HHA Branch

Listed as

Dignity Home Health of UtahCCN 467239 · All quality measures

Overall star rating

2.5 of 5

Ownership

Proprietary

Certified

Jul 27, 2007

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 4

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

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Dignity Hospice of Utah

  • Community Based Hospice Care Agency
  • American Fork, UT
  • NPI 1336413285

  JKM Management

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kirt Cundick, PH.D.

  • Clinical Psychologist
  • Layton, UT
  • NPI 1629395181
  NPD (past)

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Sean Cameron Doyle, D.O.

  • Family Medicine Physician
  • Pleasant Grove, UT
  • NPI 1235138751

  Home health agency

  Care Compare affiliation
• Rebecca Herold Moore, MD

  • Nephrology Physician
  • Salt Lake City, UT
  • NPI 1477609089

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1290384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607731200000",
    "number": "1346542453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 S 1100 E",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840032817",
            "telephone_number": "801-492-4892",
            "fax_number": "801-770-3322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 S 1100 E",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840032817",
            "telephone_number": "801-492-4892",
            "fax_number": "801-770-3322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGNITY HOME HEALTH OF UTAH",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-22",
        "last_updated": "2020-12-12",
        "certification_date": "2020-12-12",
        "status": "A",
        "authorized_official_last_name": "MATHER",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "CONRAD",
        "authorized_official_title_or_position": "CEO / OWNER",
        "authorized_official_telephone_number": "801-492-4892",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "UT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janie Defriez, LCGC
• Samantha Louise Derfler, APRN, FNP-C
• Kallie Despain
• Rylie Devey
• Jill Dickey
• Dignity Home Health, LLC
• Dignity Hospice of Utah
• Dignity Hospice, LLC
• Aubriana Dispirito
• Douglas Keith Dobbs Jr., DPT

• Home Health Agency in American Fork, UT
• Providers in American Fork, UT by specialty
• Home Health Agency in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2020; 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.

Verify at the official NPI Registry.