Amie Runolfson, RN, BSN

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Practice address

050 S 1500 W
Manti, UT 84642

Phone

(801) 234-9722

Fax

(877) 586-1196

NPI assigned

Jul 25, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hometown Personal Care Services

  • In Home Supportive Care Agency
  • Manti, UT
  • NPI 1649936931

  In Home Supportive Care

  NPD Authorized official

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

{
    "created_epoch": "1658707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1427784255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 286",
            "city": "MANTI",
            "state": "UT",
            "postal_code": "846420286",
            "telephone_number": "801-234-9722",
            "fax_number": "877-586-1196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "050 S 1500 W",
            "city": "MANTI",
            "state": "UT",
            "postal_code": "84642",
            "telephone_number": "801-234-9722",
            "fax_number": "877-586-1196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUNOLFSON",
        "first_name": "AMIE",
        "credential": "RN, BSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-25",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amie@hometownpersonalcare.com",
            "affiliation": "N",
            "endpointDescription": "email for business",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "050 S 1500 w",
            "city": "Manti",
            "state": "UT",
            "country_code": "US",
            "postal_code": "84642",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Richard S Carlile DDS PLLC
• Rebecca Richeson
• Allen Trent Riggs, LPC
• Diana Lynn Robbins, LCSW
• Natalie Marie Roberts, P.A.
• South Pointe Youth
• South Sanpete School District
• Arden Thomas
• Carol Erickson Tibbs, MSW, LCSW
• Nicholas Evan Tibbs

• All providers in Manti, UT
• In Home Supportive Care Agency in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; 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.