Iron County Home Health Agency

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

MPRN 2004-HHA-139 Issued in UT

Legal business name

IRON COUNTY HOME HEALTH AGENCY

Practice address

429 W 400 S
Cedar City, UT 84720-3199

Phone

(435) 586-3939

Fax

(435) 586-8275

NPI assigned

Aug 17, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Maree K Prince, RN BSN

Title

Administrator

Phone

(435) 586-3939

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1386636280. Details of each certification follow.

• CCN 467012 Home health agency · Active · Details

Home health agency certification: CCN 467012

Legal name

IRON COUNTY HOME HEALTH AGENCY

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jan 1, 1969

Last certification

Dec 6, 2018

Ownership / control type

Proprietary

Organization structure

CorporationNon-profit

Incorporated

Dec 28, 1987 in UT

Enrollment address

965 S Main St
Ste 4
Cedar City, UT 84720-4315

Listed as

Iron County Home Health AgencyCCN 467012 · All quality measures

Ownership

Proprietary

Certified

Jan 1, 1969

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 7

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

Affiliated clinicians 4

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

• Jacob Corry, DO

  • Family Medicine Physician
  • Cedar City, UT
  • NPI 1427211788

  Home health agency

  Care Compare affiliation
• Mark Willis Corry, MD

  • Family Medicine Physician
  • Cedar City, UT
  • NPI 1033347158

  Home health agency

  Care Compare affiliation
• Janie Earle, DNP

  • Gerontology Nurse Practitioner
  • Washington, UT
  • NPI 1720752389

  Home health agency

  Care Compare affiliation
• Ellen F Gardner, MD

  • Family Medicine Physician
  • Parowan, UT
  • NPI 1013939024

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247097600000",
    "number": "1386636280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 S MAIN ST",
            "address_2": "SUITE 4",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847204383",
            "telephone_number": "435-586-3939",
            "fax_number": "435-586-8275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 W 400 S",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847203199",
            "telephone_number": "435-586-3939",
            "fax_number": "435-586-8275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRON COUNTY HOME HEALTH AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-17",
        "last_updated": "2009-07-09",
        "status": "A",
        "authorized_official_last_name": "PRINCE",
        "authorized_official_first_name": "MAREE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "435-586-3939",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN BSN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "UT",
            "license": "MPRN 2004-HHA-139",
            "primary": true
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": "UT",
            "license": "2004-HHA-139",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "87-6000310005",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ihc Health Services, Inc. (Cedar City General Surgery Clinic)
• Susan Indorato
• Inner Vessel Psychiatry PLLC
• Insight Recovery Cedar City LLC (Lions Gate Recovery, LLC)
• Intermountain Hearing Clinics, Inc.
• Iron County School District
• Iron Mission Dialysis Center (University of Utah)
• Dustin Irvin
• Lucas Isom
• Daniela Izatt

• Home Health Agency in Cedar City, UT
• Providers in Cedar City, 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 Jul 9, 2009; 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.