Primrose Home Care Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PRIMROSE HOME CARE INC.

Practice address

286 N Gateway Dr
Ste 101
Providence, UT 84332-5602

Phone

(435) 787-1369

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Mark C Stokes

Title

Chief Executive Officer

Phone

(435) 881-5869

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 1508943135. Details of each certification follow.

• CCN 467234 Home health agency · Active · Details

Home health agency certification: CCN 467234

Legal name

PRIMROSE HOME CARE INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Apr 26, 2007

Last certification

Mar 4, 2020

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Oct 10, 2006 in UT

Enrollment address

286 N Gateway Dr
Ste 101
Providence, UT 84332-5605

Listed as

Primrose Home CareCCN 467234 · All quality measures

Overall star rating

4.5 of 5

Ownership

Proprietary

Certified

Apr 26, 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 1

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

Affiliated clinicians 2

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

• Tyler Carnahan Dixon, D.O.

  • Family Medicine Physician
  • Clinton, UT
  • NPI 1144339904

  Home health agency

  Care Compare affiliation
• Michael Voss Hoffman, MD

  • Orthopaedic Surgery Physician
  • Brigham City, UT
  • NPI 1619903382

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360713600000",
    "number": "1508943135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "286 N GATEWAY DR",
            "address_2": "STE 101",
            "city": "PROVIDENCE",
            "state": "UT",
            "postal_code": "843325602",
            "telephone_number": "435-787-1369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "286 N GATEWAY DR",
            "address_2": "STE 101",
            "city": "PROVIDENCE",
            "state": "UT",
            "postal_code": "843325602",
            "telephone_number": "435-787-1369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMROSE HOME CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2013-02-13",
        "status": "A",
        "authorized_official_last_name": "STOKES",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "435-881-5869",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "UT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Lynn Peterson, RBT
• Tia Peterson, NP-C
• Whitney Petterborg, RDN
• Sherrie Petty
• Camille Porter
• Primrose Hospice Inc.
• Providence City, LLC (Cache Valley Senior Living Community)
• Providence Dermatology LLC (Providence Dermatology)
• Providence PDC PLLC (Platinum Dental Care-Providence)
• Aariah Lee Pugsley, RBT

• Home Health Agency in Providence, UT
• Providers in Providence, 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 Feb 13, 2013; 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.