Organization Active NPI

Life Care at Home of Utah, Inc.

  • Home Health Agency
  • Salt Lake City, UT
National Provider Identifier
1992708945
Registry record updated Apr 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
2004-HHA-231 Issued in UT
Legal business name
LIFE CARE AT HOME OF UTAH, INC.
Practice address
2200 W Parkway Blvd
Suite 200
Salt Lake City, UT 84119-2099
Phone
(801) 972-5802
Fax
(801) 973-0246
NPI assigned
May 23, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2014

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

Authorized official

Name
Stephanie Johnson
Title
Senior Director of Finance
Phone
(423) 473-5257

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 2004-HHA-231 UT Primary

Addresses

Primary practice location

2200 W Parkway Blvd
Suite 200
Salt Lake City, UT 84119-2099

Mailing address

3001 Keith St NW
Cleveland, TN 37312-3713
Phone (423) 473-5256

National Provider Directory

National Provider Directory

Locations

181 E 5600 S
#300
Murray, UT 84107
Phone (801) 266-1213

4141 S Highland Dr
Ste 202
Salt Lake City, UT 84124
Phone (801) 274-1324

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397692800000",
    "number": "1992708945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 KEITH ST NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373123713",
            "telephone_number": "423-473-5256",
            "fax_number": "423-559-8356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 W PARKWAY BLVD",
            "address_2": "SUITE 200",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841192099",
            "telephone_number": "801-972-5802",
            "fax_number": "801-973-0246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CARE AT HOME OF UTAH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-23",
        "last_updated": "2014-04-17",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "SENIOR DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "423-473-5257"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "UT",
            "license": "2004-HHA-231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2014; 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.