Active NPI
Life Care at Home of Utah, Inc.
- Home Health Agency
- Salt Lake City, UT
National Provider Identifier
1992708945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 2004-HHA-231
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.