At Home Health Care Service Inc
Organization Active NPI Home Health Agency · Salina, UT
NPI 1700908274 · NPPES record last updated Jun 29, 2021
Key facts
- NPI
- 1700908274
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- 2014-HHA-846 (UT)
- Legal business name
- AT HOME HEALTH CARE SERVICE INC
- Practice address
- 45 N 100 W
Salina, UT 84654-1363 - Phone
- (435) 529-3233
- Fax
- (435) 529-3444
- NPI assigned
- Apr 4, 2007
- Organization subpart
- No
Authorized official
- Name
- Mrs. Vicki Gurney, RN
- Title
- Administrator
- Phone
- (435) 529-3233
Affiliated clinicians 4
-
Craig M. Grose, M.D.
-
Alan Ross Smith, M.D.
-
Jesse Neil Spencer, M.D.
Medicare Care Compare: Home health agency
- Listed as
- At Home Health Care
- Overall star rating
- ★★★★☆ 4 of 5
- Ownership
- Proprietary
- Certified
- Mar 10, 1997
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Medicare Care Compare: Hospice
- Listed as
- At Home Hospice
- Ownership
- For-Profit
- Certified
- Oct 1, 2003
- Medicare certification status
- Active
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 46D0926781 | At-Home Health Care Inc | Certificate of waiver | Mar 31, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in UT
Hospice certification: CCN 461530
- Legal name
- AT HOME HEALTH CARE SERVICE INC
- Doing business as
- AT HOME HOSPICE
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Oct 1, 2003
- Last certification
- Apr 21, 2022
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- Corporation · Proprietary
- Incorporated
- Sep 5, 1996 in UT
- Enrollment address
- 45 N 100 W
Salina, UT 84654-1116
Home health agency certification: CCN 467112
- Legal name
- AT HOME HEALTH CARE SERVICE INC
- Doing business as
- AT HOME HEALTH CARE
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Mar 10, 1997
- Last certification
- Mar 16, 2020
- Ownership / control type
- Proprietary
- Organization structure
- Corporation · Proprietary
- Incorporated
- Sep 5, 1996 in UT
- Enrollment address
- 45 N 100 W
Salina, UT 84654-1116
All disclosed owners & managing parties 2
| Name | Role | Since | Share |
|---|---|---|---|
| Vicki W. Gurney |
5% Or Greater Direct Ownership Interest |
Sep 5, 1996 | 50% |
| Corporate Officer |
Sep 5, 1996 | ||
| Corporate Director |
Sep 5, 1996 | ||
| W-2 Managing Employee |
Sep 5, 1996 | ||
| 5% Or Greater Direct Ownership Interest |
Jul 8, 2003 | 50% | |
| Alan K Gurney |
5% Or Greater Direct Ownership Interest |
Sep 5, 1996 | 50% |
| 5% Or Greater Direct Ownership Interest |
Jul 8, 2003 | 50% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20030725000032 | UT | Part a Provider - Hospice | 4981515723 | Practice locations: Salina, UT |
| O20040209001184 | UT | Part a Provider - Home Health Agency | 4981515723 | Practice locations: Salina, UT |
National Provider Directory
Locations
45 N 100 W
Salina, UT 84654
Phone (435) 529-3233
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 2014-HHA-846 | UT | Yes |
| Community Based Hospice Care Agency | 251G00000X | 2012-HOSPICE-49553 | UT |
Addresses
Primary practice location
45 N 100 W
Salina, UT 84654-1363
Mailing address
45 N 100 W
Salina, UT 84654-1116
Phone (435) 529-3233
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8705630002 | Medicaid | UT |
Other names
- At Home Health Care & Hospice
Other providers in Salina, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 29, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.