NPIMap

Organization Active NPI

Direct Care Medical Home Clinic LLC

  • Primary Care Clinic/Center
  • West Jordan, UT
National Provider Identifier
1730507161
Registry record updated Apr 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
DIRECT CARE MEDICAL HOME CLINIC LLC
Practice address
7611 S Jordan Landing Blvd Ste 200
West Jordan, UT 84084-5612
Phone
(801) 260-1919
Fax
(801) 260-1441
NPI assigned
Apr 2, 2014
Last updated
Apr 2, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2014

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

Authorized official

Name
Dr. Rachot K Vacharothone, MDNPI 1548228497
Title
Owner/ Urgent Care Physician
Phone
(801) 260-1919

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X UT Primary

Addresses

Primary practice location

7611 S Jordan Landing Blvd Ste 200
West Jordan, UT 84084-5612

Mailing address

7611 S Jordan Landing Blvd Ste 200
West Jordan, UT 84084-5612
Phone (801) 260-1919

National Provider Directory

National Provider Directory

Locations

7611 S Jordan Landing Blvd
Ste 200
West Jordan, UT 84084
Phone (801) 260-1919

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1396396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396396800000",
    "number": "1730507161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7611 S JORDAN LANDING BLVD STE 200",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840845612",
            "telephone_number": "801-260-1919",
            "fax_number": "801-260-1441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7611 S JORDAN LANDING BLVD STE 200",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840845612",
            "telephone_number": "801-260-1919",
            "fax_number": "801-260-1441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIRECT CARE MEDICAL HOME CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-02",
        "last_updated": "2014-04-02",
        "status": "A",
        "authorized_official_last_name": "VACHAROTHONE",
        "authorized_official_first_name": "RACHOT",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER/ URGENT CARE PHYSICIAN",
        "authorized_official_telephone_number": "801-260-1919",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "UT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Jordan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2014; 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.