NPIMap

Organization Active NPI

Home Clinix Utah LLC

  • Specialist
  • Cedar Hills, UT
National Provider Identifier
1891455895
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
HOME CLINIX UTAH LLC
Practice address
4337 W Oxford St
Cedar Hills, UT 84062-8638
Phone
(801) 980-1595
NPI assigned
Dec 19, 2021
Last updated
Aug 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2025

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

Authorized official

Name
Spencer ClarkNPI 1245576487
Title
Owner
Phone
(801) 980-1595

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary
General Practice Physician 208D00000X NU
Podiatrist 213E00000X NU
Physical Therapist 225100000X NU
Occupational Therapist 225X00000X NU
Clinical Laboratory Director (Non-physician) 247ZC0005X NU

Addresses

Primary practice location

4337 W Oxford St
Cedar Hills, UT 84062-8638

Mailing address

4337 W Oxford St
Cedar Hills, UT 84062-8638
Phone (801) 980-1595

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220620001418 UT Part B Supplier - Clinic/Group Practice 7810376977 Receives reassigned benefits from 13 practitioners
Practice locations: Cedar Hills, UT; Stansbury Park, UT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1639872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756425600000",
    "number": "1891455895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4337 W OXFORD ST",
            "city": "CEDAR HILLS",
            "state": "UT",
            "postal_code": "840628638",
            "telephone_number": "801-980-1595",
            "fax_number": "801-890-3434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4337 W OXFORD ST",
            "city": "CEDAR HILLS",
            "state": "UT",
            "postal_code": "840628638",
            "telephone_number": "801-980-1595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME CLINIX UTAH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-19",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "SPENCER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-980-1595"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "247ZC0005X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Hills, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.