Organization Active NPI

At Home Health Care Service Inc

Doing business as At Home Health Care & Hospice

  • Home Health Agency
  • Salina, UT
National Provider Identifier
1700908274
Registry record updated Jun 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
2014-HHA-846 Issued in UT
Legal business name
AT HOME HEALTH CARE SERVICE INC
Doing business as
At Home Health Care & Hospice
Practice address
45 N 100 W
Salina, UT 84654-1363
Phone
(435) 529-3233
Fax
(435) 529-3444
NPI assigned
Apr 4, 2007
Last updated
Jun 29, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2021

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

Authorized official

Name
Mrs. Vicki Gurney, RN
Title
Administrator
Phone
(435) 529-3233

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 2014-HHA-846 UT Primary
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 names 1

  • At Home Health Care & Hospice Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20030725000032 UT Part A Provider - Hospice 4981515723 Practice locations: Salina, UT
O20040209001184 UT Part A Provider - Home Health Agency 4981515723 Practice locations: Salina, UT

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1700908274. Details of each certification follow.

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
CorporationProprietary
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
CorporationProprietary
Incorporated
Sep 5, 1996 in UT
Enrollment address
45 N 100 W
Salina, UT 84654-1116

Care Compare: Home health agency

Medicare Care Compare
Listed as
At Home Health CareCCN 467112 · All quality measures
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Mar 10, 1997
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Care Compare: Hospice

Medicare Care Compare
Listed as
At Home HospiceCCN 461530 · All quality measures
Ownership
For-Profit
Certified
Oct 1, 2003
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
46D0926781At-Home Health Care Inc45 North 100 West, Salina, UT 84654Certificate of waiverMar 31, 2027

National Provider Directory

National Provider Directory

Locations

45 N 100 W
Salina, UT 84654
Phone (435) 529-3233

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Vicki W. Gurney Individual 5% Or Greater Direct Ownership InterestPresident Sep 5, 1996 50%
Corporate OfficerBoard Member Sep 5, 1996
Corporate DirectorBoard Member Sep 5, 1996
W-2 Managing EmployeeCeo Sep 5, 1996
5% Or Greater Direct Ownership InterestPresident Jul 8, 2003 50%
Alan K Gurney Individual 5% Or Greater Direct Ownership InterestSecretary Sep 5, 1996 50%
5% Or Greater Direct Ownership InterestSecretary Jul 8, 2003 50%

Practitioners & affiliated clinicians

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.

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624924800000",
    "number": "1700908274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 N 100 W",
            "city": "SALINA",
            "state": "UT",
            "postal_code": "846541116",
            "telephone_number": "435-529-3233",
            "fax_number": "435-529-3444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 N 100 W",
            "city": "SALINA",
            "state": "UT",
            "postal_code": "846541363",
            "telephone_number": "435-529-3233",
            "fax_number": "435-529-3444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AT HOME HEALTH CARE SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A",
        "authorized_official_last_name": "GURNEY",
        "authorized_official_first_name": "VICKI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "435-529-3233",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "UT",
            "license": "2014-HHA-846",
            "primary": true
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "UT",
            "license": "2012-HOSPICE-49553",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "At Home Health Care & Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "At Home Health Care & Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salina, UT

Sources for this page

Verify at the official NPI Registry.