December Rose Senior Care at Home

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

DECEMBER ROSE SENIOR CARE AT HOME

Practice address

12051 N Ithica Dr
Highland, UT 84003-3684

Phone

(801) 427-7673

NPI assigned

Mar 15, 2019

Last updated

Mar 15, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alan D Jones

Title

Owner

Phone

(801) 850-4320

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1552608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552608000000",
    "number": "1811456205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12051 N ITHICA DR",
            "city": "HIGHLAND",
            "state": "UT",
            "postal_code": "840033684",
            "telephone_number": "801-427-7673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12051 N ITHICA DR",
            "city": "HIGHLAND",
            "state": "UT",
            "postal_code": "840033684",
            "telephone_number": "801-427-7673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DECEMBER ROSE SENIOR CARE AT HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-15",
        "last_updated": "2019-03-15",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-850-4320"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph M Corak, RPH
• Courage Reins
• Jeffery Crockett, DC
• Krystal Dagley
• Nicole Marie De la Vega, APRN, FNP-BC
• Shelby Jeanne Deuel
• Dr. Christy Kane
• Terrance Stephen Drake, MD
• Jordan Earl, RPH
• Earlux LLC

• In Home Supportive Care Agency in Highland, UT
• Providers in Highland, UT by specialty
• In Home Supportive Care Agency in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2019; 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.