Organization Active NPI

Mountain Land Rehabilitation Home Health, LC

  • Home Health Agency
  • Draper, UT
National Provider Identifier
1578882403
Registry record updated Apr 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MOUNTAIN LAND REHABILITATION HOME HEALTH, LC
Practice address
11576 S State St Ste 1202B
Draper, UT 84020-7119
Phone
(801) 478-2521
Fax
(801) 797-8667
NPI assigned
May 17, 2010
Organization subpart
Yes
Parent organization
MOUNTAIN LAND REHABILITATION HOME HEALTH, LCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 10, 2020

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

Authorized official

Name
Jessica Janette White
Title
Administrator
Phone
(801) 478-2521

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

11576 S State St Ste 1202B
Draper, UT 84020-7119

Mailing address

11576 S State St Ste 1202B
Draper, UT 84020-7119
Phone (801) 478-2521

Other names 1

  • Ashby Health Care Doing business as

National Provider Directory

National Provider Directory
Part of
Mountain Land Rehabilit

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1952 E Fort Union Blvd
Ste 100
Salt Lake Cty, UT 84121
Phone 8019423311 ext. 181

NPI Registry JSON

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

{
    "created_epoch": "1274054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586476800000",
    "number": "1578882403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11576 S STATE ST STE 1202B",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840207119",
            "telephone_number": "801-478-2521",
            "fax_number": "801-797-8667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11576 S STATE ST STE 1202B",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840207119",
            "telephone_number": "801-478-2521",
            "fax_number": "801-797-8667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN LAND REHABILITATION HOME HEALTH, LC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MOUNTAIN LAND REHABILITATION HOME HEALTH, LC",
        "enumeration_date": "2010-05-17",
        "last_updated": "2020-04-10",
        "certification_date": "2020-04-10",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "JANETTE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "801-478-2521"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ashby Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Draper, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2020; 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.