Jennifer Jay Lui, CEO
Individual provider Active NPI Home Health Aide · West Point, UT
NPI 1619682960 · NPPES record last updated Sep 8, 2023
Key facts
- NPI
- 1619682960
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- License
- UT000283580699 (UT)
- Practice address
- 3197 W 650 N
West Point, UT 84015-6809 - Phone
- (801) 759-8975
- NPI assigned
- Jan 20, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| UT000283580699 | UT | MD | Home Health Aide |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ensight Home Care LLC | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | UT000283580699 | UT | Yes |
Addresses
Primary practice location
3197 W 650 N
West Point, UT 84015-6809
Mailing address
PO Box 271
Clearfield, UT 84089-0271
Phone (801) 759-8975
Other providers in West Point, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.