Organization Active NPI

Redcliffs Selectcare, Inc

  • Home Health Agency
  • Price, UT
National Provider Identifier
1831353077
Registry record updated Jul 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
REDCLIFFS SELECTCARE, INC
Practice address
375 S Carbon Ave Ste A4
Price, UT 84501-2950
Phone
(435) 630-6611
NPI assigned
Jul 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2008

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

Authorized official

Name
Mr. David Chet Blackham, HFA, MBA
Title
Owner
Phone
(435) 630-6513

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X UT
Home Health Agency 251E00000X UT Primary

Addresses

Primary practice location

375 S Carbon Ave Ste A4
Price, UT 84501-2950

Mailing address

375 S Carbon Ave Ste A4
Price, UT 84501-2950
Phone (435) 630-6611

National Provider Directory

National Provider Directory

Locations

375 S Carbon Ave
Ste A4
Price, UT 84501
Phone (435) 630-6611

NPI Registry JSON

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

{
    "created_epoch": "1216166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216166400000",
    "number": "1831353077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 S CARBON AVE STE A4",
            "city": "PRICE",
            "state": "UT",
            "postal_code": "845012950",
            "telephone_number": "435-630-6611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 S CARBON AVE STE A4",
            "city": "PRICE",
            "state": "UT",
            "postal_code": "845012950",
            "telephone_number": "435-630-6611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDCLIFFS SELECTCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-16",
        "last_updated": "2008-07-16",
        "status": "A",
        "authorized_official_last_name": "BLACKHAM",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "CHET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-630-6513",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "HFA, MBA"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "UT",
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "UT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Price, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; 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.