NPIMap

Organization Active NPI

FLC Homecare Holdings

  • In Home Supportive Care Agency
  • Draper, UT
National Provider Identifier
1699484170
Registry record updated Nov 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
FLC HOMECARE HOLDINGS
Practice address
12244 S Business Park Dr Ste 215
Draper, UT 84020-6561
Phone
(801) 274-9100
NPI assigned
Nov 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2022

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

Authorized official

Name
Trevor Lighten
Title
Owner
Phone
(801) 687-1746

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

12244 S Business Park Dr Ste 215
Draper, UT 84020-6561

Mailing address

12244 S Business Park Dr Ste 215
Draper, UT 84020-6561
Phone (801) 274-9100

Other identifiers 1

IdentifierTypeStateIssuer
2022-PCA-UT207261OtherUTUTAH STATE LICENSE NUMBER FOR A PERSONAL CARE AGENCY

Other names 1

  • Home Option Personal Care Doing business as

National Provider Directory

National Provider Directory

Locations

12244 S Business Park Dr
Ste 215
Draper, UT 84020
Phone (801) 274-9100

NPI Registry JSON

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

{
    "created_epoch": "1669161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669161600000",
    "number": "1699484170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12244 S BUSINESS PARK DR STE 215",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840206561",
            "telephone_number": "801-274-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12244 S BUSINESS PARK DR STE 215",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840206561",
            "telephone_number": "801-274-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLC HOMECARE HOLDINGS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-23",
        "last_updated": "2022-11-23",
        "certification_date": "2022-11-23",
        "status": "A",
        "authorized_official_last_name": "LIGHTEN",
        "authorized_official_first_name": "TREVOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-687-1746"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UTAH STATE LICENSE NUMBER FOR A PERSONAL CARE AGENCY",
            "identifier": "2022-PCA-UT207261",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Option Personal 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 Nov 23, 2022; 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.