Active NPI
Wasatch Rehab Inc
- Home Health Agency
- Bountiful, UT
National Provider Identifier
1487952859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- WASATCH REHAB INC
- Practice address
- 689 E 400 N
Bountiful, UT 84010-3614 - Phone
- (801) 698-6628
- Fax
- (801) 994-1278
- NPI assigned
- Mar 8, 2011
- 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
- Aaron S Lewis
- Title
- Administrator
- Phone
- (801) 698-6628
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
689 E 400 N
Bountiful, UT 84010-3614
Mailing address
689 E 400 North
Bountiful, UT 84010-3614
Phone (801) 698-6628
Other names 1
- Renew Home Health
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299542400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1299542400000",
"number": "1487952859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "689 E 400 NORTH",
"city": "BOUNTIFUL",
"state": "UT",
"postal_code": "840103614",
"telephone_number": "801-698-6628",
"fax_number": "801-994-1278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "689 E 400 N",
"city": "BOUNTIFUL",
"state": "UT",
"postal_code": "840103614",
"telephone_number": "801-698-6628",
"fax_number": "801-994-1278"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WASATCH REHAB INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-03-08",
"last_updated": "2011-03-08",
"status": "A",
"authorized_official_last_name": "LEWIS",
"authorized_official_first_name": "AARON",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "801-698-6628"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Renew Home Health",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bountiful, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.