Hometown Personal Care Services

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

HOMETOWN PERSONAL CARE SERVICES

Practice address

050 S 1500 W
Manti, UT 84642

Phone

(801) 234-9722

Fax

(877) 586-1196

NPI assigned

Nov 11, 2021

Last updated

Nov 12, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amie J Runolfson, RNNPI 1427784255

Title

Owner/Operator

Phone

(801) 234-9722

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amie Runolfson, RN, BSN

  • In Home Supportive Care Agency
  • Manti, UT
  • NPI 1427784255
  NPD Authorized official

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

{
    "created_epoch": "1636588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636675200000",
    "number": "1649936931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 286",
            "city": "MANTI",
            "state": "UT",
            "postal_code": "846420286",
            "telephone_number": "801-234-9722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "050 S 1500 W",
            "city": "MANTI",
            "state": "UT",
            "postal_code": "84642",
            "telephone_number": "801-234-9722",
            "fax_number": "877-586-1196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMETOWN PERSONAL CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-11",
        "last_updated": "2021-11-12",
        "certification_date": "2021-11-12",
        "status": "A",
        "authorized_official_last_name": "RUNOLFSON",
        "authorized_official_first_name": "AMIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "801-234-9722",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4073349",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael S Frischknecht, MD
• Joshua Clark Graham, PA-C
• Jared Greene
• Gunnison Valley Hospital (Main Street Family Clinic)
• Gunnison Valley Hospital (Manti Pharmacy)
• Jesse Frank Hudson, LPCC
• Ihc Health Services Inc (Intermountain Manti Clinic)
• Ihc Health Services Inc (Manti Pharmacy)
• Michael D Jensen, LCSW BCD
• Annie Johnson

• In Home Supportive Care Agency in Manti, UT
• Providers in Manti, UT by specialty
• In Home Supportive Care Agency in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2021; 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.