Fammull, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

2010-HHA-96627 Issued in UT

Legal business name

FAMMULL, INC.

Doing business as

BrightStar Mountainside

Practice address

5330 S 900 E
Suite 260
Salt Lake City, UT 84117-7261

Phone

(801) 290-1290

Fax

(801) 290-1291

NPI assigned

Jul 28, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Tamra Lee Olsen, R.N.

Title

Director of Nursing

Phone

(801) 290-1290

Specialties & licenses 1

Addresses

Other names 1

• BrightStar Mountainside Doing business as

Locations

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

{
    "created_epoch": "1280275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280275200000",
    "number": "1689988933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5330 S 900 E",
            "address_2": "SUITE 260",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841177261",
            "telephone_number": "801-290-1290",
            "fax_number": "801-290-1291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5330 S 900 E",
            "address_2": "SUITE 260",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841177261",
            "telephone_number": "801-290-1290",
            "fax_number": "801-290-1291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMMULL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-28",
        "last_updated": "2010-07-28",
        "status": "A",
        "authorized_official_last_name": "OLSEN",
        "authorized_official_first_name": "TAMRA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "DIRECTOR OF NURSING",
        "authorized_official_telephone_number": "801-290-1290",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "UT",
            "license": "2010-HHA-96627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BrightStar Mountainside",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Family Care LLC
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• Family Enrichment Services LLP
• Family Foundation Chiropractic PC (Gonstead Family Chiropractic)
• Family Support Center
• Dustin John Fanciullo, M.D.
• Luis B. Fandino, MD
• James C Fang
• John C Fang, MD
• Taniela Ma'U Fangupo

• Home Health Agency in Salt Lake City, UT
• Providers in Salt Lake City, 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 Jul 28, 2010; 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.