Active NPI
Rocky Mountain Personal Care LLC
- Home Health Agency
- Woods Cross, UT
National Provider Identifier
1942621602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- ROCKY MOUNTAIN PERSONAL CARE LLC
- Practice address
- 576 W 900 S
Suite 101
Woods Cross, UT 84010-8194 - Phone
- (801) 397-4054
- NPI assigned
- Dec 26, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Dee R Bangerter
- Title
- Ceo
- Phone
- (801) 397-4000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
576 W 900 S
Suite 101
Woods Cross, UT 84010-8194
Mailing address
5242 S College Dr
Ste 340
Salt Lake City, UT 84123-2653
Phone (801) 397-4000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 46D2076467 | Other | UT | CLIA NUMBER |
| 2014-HHA-UT000638 | Other | STATE HOME HEALTH AGENCY NUMBER | |
| 2014-PCA-UT000614 | Other | UT | STATE PERSONAL CARE LICENSE NUMBER |
Other names 1
- Rocky Mountain Skilled Care
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388016000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1463529600000",
"number": "1942621602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5242 S COLLEGE DR",
"address_2": "STE 340",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841232653",
"telephone_number": "801-397-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "576 W 900 S",
"address_2": "SUITE 101",
"city": "WOODS CROSS",
"state": "UT",
"postal_code": "840108194",
"telephone_number": "801-397-4054"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROCKY MOUNTAIN PERSONAL CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-12-26",
"last_updated": "2016-05-18",
"status": "A",
"authorized_official_last_name": "BANGERTER",
"authorized_official_first_name": "DEE",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "801-397-4000",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA NUMBER",
"identifier": "46D2076467",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE HOME HEALTH AGENCY NUMBER",
"identifier": "2014-HHA-UT000638",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE PERSONAL CARE LICENSE NUMBER",
"identifier": "2014-PCA-UT000614",
"state": "UT"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Rocky Mountain Skilled Care",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Woods Cross, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.