Mountain Peak Home Care, Inc.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

MOUNTAIN PEAK HOME CARE, INC.

Practice address

363 N University Ave Ste 104
Provo, UT 84601-8423

Phone

(801) 377-2760

NPI assigned

Mar 19, 2019

Organization subpart

No

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

Authorized official

Name

Amber L Tueller

Title

Secretary

Phone

(208) 207-2726

Specialties & licenses 2

Addresses

Other names 1

• Stonebridge Home Care South Doing business as

Locations

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

{
    "created_epoch": "1552953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748995200000",
    "number": "1962961748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "961 W CENTER ST",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840575203",
            "telephone_number": "801-377-2760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 N UNIVERSITY AVE STE 104",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846018423",
            "telephone_number": "801-377-2760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN PEAK HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-19",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A",
        "authorized_official_last_name": "TUELLER",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "208-207-2726"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stonebridge Home Care South",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Stonebridge Home Care South",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marisa Leigh Moss
• Sandra L Moss, OT
• Tiffany Ishvari Ananda Moss
• Ashley Nicole Motter
• Byron J Moulton, AUDIOLOGIST
• Mountain Peak Recovery, LLC
• Mountain West Anesthesia LLC
• Mountainlands Community Health Center, Inc
• Mountainlands Community Health Center, Inc
• Mountainlands Community Health Center, Inc

• All providers in Provo, UT
• In Home Supportive Care Agency in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2025; 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.