My Home Medical LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

MY HOME MEDICAL LLC

Practice address

6595 S Silver Oak LN
South Weber, UT 84405-9741

Phone

(801) 540-5580

Fax

(832) 324-6932

NPI assigned

Jan 27, 2023

Organization subpart

No

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

Authorized official

Name

Ryan Larsen, NPNPI 1669968723

Title

Aprn

Phone

(801) 540-5580

Specialties & licenses 1

Addresses

Other names 1

• My Home Medical Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ryan Scott Larsen, NP

  • Family Nurse Practitioner
  • Ogden, UT
  • NPI 1669968723
  NPD Authorized official

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

{
    "created_epoch": "1674777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674777600000",
    "number": "1750097135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6595 S SILVER OAK LN",
            "city": "SOUTH WEBER",
            "state": "UT",
            "postal_code": "844059741",
            "telephone_number": "801-540-5580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6595 S SILVER OAK LN",
            "city": "SOUTH WEBER",
            "state": "UT",
            "postal_code": "844059741",
            "telephone_number": "801-540-5580",
            "fax_number": "832-324-6932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY HOME MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-27",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A",
        "authorized_official_last_name": "LARSEN",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "APRN",
        "authorized_official_telephone_number": "801-540-5580",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My Home Medical",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• John William Henderson, ATC
• Brandi Jackson, DPT
• Diana L Lewis, L.M.T.
• Richard Thomas Mackay, CMHC
• Mountain Region Home Medical
• Petersen Farms Assisted Living & Memory Care
• Shandra Kaye Pipkin, M.ED, BCBA
• Pryme Corp.
• Redefined Therapy and Coaching, PLLC
• Rocky Point Anesthesia

• Family Nurse Practitioner in South Weber, UT
• Providers in South Weber, UT by specialty
• Family Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; 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.