NPIMap

Organization Active NPI

At Home Care and Health Services LLC

  • PACE Provider Organization
  • Ivins, UT
National Provider Identifier
1609315431
Registry record updated May 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PACE Provider OrganizationTaxonomy code 251T00000X
License
2016-PCA-UT000780 Issued in UT
Legal business name
AT HOME CARE AND HEALTH SERVICES LLC
Practice address
639 S 315 E
Ivins, UT 84738-5054
Phone
(435) 256-0867
Fax
(435) 652-3675
NPI assigned
Feb 13, 2017
Last updated
May 8, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2017

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

Authorized official

Name
Mrs. Ashlyn Teed, OWNER
Title
Administrator
Phone
(435) 256-0867

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Private Vehicle 347C00000X 2016-PCA-UT000780 UT
Respite Care 385H00000X 2016-PCA-UT000780 UT
PACE Provider Organization 251T00000X 2016-PCA-UT000780 UT Primary

Addresses

Primary practice location

639 S 315 E
Ivins, UT 84738-5054

Mailing address

639 S 315 E
Ivins, UT 84738-5054
Phone (435) 256-0867

Other identifiers 4

IdentifierTypeStateIssuer
1700331162OtherUTBLUE CROSS/BLUE SHIELD
1700331162OtherUTMOLINA
1700331162OtherUTSELECT HEALTH
1700331162MedicaidUT

National Provider Directory

National Provider Directory
Tax ID family
At Home Care and Health Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1486944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494201600000",
    "number": "1609315431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "639 S 315 E",
            "city": "IVINS",
            "state": "UT",
            "postal_code": "847385054",
            "telephone_number": "435-256-0867",
            "fax_number": "435-652-3675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 S 315 E",
            "city": "IVINS",
            "state": "UT",
            "postal_code": "847385054",
            "telephone_number": "435-256-0867",
            "fax_number": "435-652-3675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AT HOME CARE AND HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-13",
        "last_updated": "2017-05-08",
        "status": "A",
        "authorized_official_last_name": "TEED",
        "authorized_official_first_name": "ASHLYN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "435-256-0867",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "UT",
            "license": "2016-PCA-UT000780",
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "UT",
            "license": "2016-PCA-UT000780",
            "primary": false
        },
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": "UT",
            "license": "2016-PCA-UT000780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "1700331162",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOLINA",
            "identifier": "1700331162",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SELECT HEALTH",
            "identifier": "1700331162",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1700331162",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ivins, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2017; 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.