LIFE CARE AT HOME OF UTAH, INC. (NPI# 1700881505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700881505 |
| Entity Type | Organization |
| Organization Name | LIFE CARE AT HOME OF UTAH, INC. |
| Other Organization Name | AFFINITY HOSPICE OF LIFE |
| Practice Address |
2200 West Parkway Blvd Ste 200 Salt Lake City UT 84119-2099 |
| Mailing Address |
3001 Keith St Nw Cleveland TN 37312-3713 |
| Practice Telephone | 8019730217 |
| Practice Fax Number | 8019730229 |
| Mailing Telephone | 4234735280 |
| Mailing Fax Number | 4233398369 |
| Enumeration Date | 2005-06-17 |
| Last Update Date | 2013-01-24 |
| Authorized Official Name | PAM RAU (VICE PRESIDENT FINANCE) |
| Authorized Official Telephone | 4234735280 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | 2005-HOSPICE-661 | UT | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 100505837 | 05 | |
| NV | 100509587 | 05 |
| Other Name | Type Code |
|---|---|
| AFFINITY HOSPICE OF LIFE | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992708945 | Life Care At Home of Utah, Inc. | Home Health | 2200 W Parkway Blvd, Suite 200, Salt Lake City, UT 84119-2099 | 2005-05-23 |
| Street Address |
2200 WEST PARKWAY BLVD STE 200 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84119-2099 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164981932 | Arches Home Care, Inc. | Non-emergency Medical Transport (VAN) | 1385 W 2200 S Ste 203, West Valley City, UT 84119 | 2019-03-19 |
| 1629591003 | Exemplar Healthcare, Inc. | Hospice Care, Community Based | 1385 W 2200 S Ste 202, West Valley City, UT 84119 | 2017-07-18 |
| 1619358496 | Otto Bock Orthopedic Services LLC | Durable Medical Equipment & Medical Supplies | 2875 S Decker Lake Dr Ste 180, West Valley City, UT 84119 | 2015-06-17 |
| 1821407735 | Nathan William Stobbe | Dentist | 3280 W. 3500 S. Ste 3, West Valley, UT 84119 | 2014-08-05 |
| 1801209028 | Utah Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3148 W 3500 S, West Valley City, UT 84119 | 2014-06-05 |
| 1215347935 | Karl Edward Jennings | Social Worker | 3901 S David Pl, West Valley City, UT 84119 | 2014-05-02 |
| 1750624672 | Shannon Quinn Dunlop | Registered Nurse | 2621 S 3270 W, West Valley City, UT 84119 | 2013-03-28 |
| 1215273529 | Holly H Tanski | Counselor | 5770 S. 1500 W. Bld A, Ihc Wasatch Canyons Campus, Salt Lake City, UT 84119 | 2012-12-14 |
| 1982955860 | Oquirrh Meadows Care and Rehab, Inc | Assisted Living Facility | 2948 So. Redwood Road, West Valley City, UT 84119 | 2012-10-02 |
| 1518235068 | Asjad Kaleem Mohammed | Pharmacist | 2290 S Redwood Road, Olive Pharmacy, Salt Lake City, UT 84119 | 2011-12-12 |
| Find all providers in zip 84119 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669998621 | Where Love Is | Hospice Care, Community Based | 1935 W Lieutenant Rd, Salt Lake City, UT 84116-4703 | 2017-08-21 |
| 1366816951 | Creekside Home Health and Hospice LLC | Hospice Care, Community Based | 3668 S Gilroy Rd, Salt Lake City, UT 84109-3825 | 2015-11-19 |
| 1447682034 | Reliance Hospice of Utah | Hospice Care, Community Based | 840 W 1700 S, Suite 13, Salt Lake City, UT 84104-1703 | 2013-08-06 |
| 1780026617 | Valeo Hospice LLC | Hospice Care, Community Based | 1376 E 3300 S, Salt Lake City, UT 84106-3069 | 2013-07-19 |
| 1689917809 | Solstice Hospice and Palliative Care | Hospice Care, Community Based | 1115 S 900 E, Salt Lake City, UT 84105-1323 | 2013-04-05 |
| 1154665651 | Home Caregivers Partnership LLC | Hospice Care, Community Based | 450 S 900 E Ste 100, Salt Lake City, UT 84102-2983 | 2012-11-21 |
| 1194014928 | At Home Hospice Care, LLC | Hospice Care, Community Based | 230 W 200 S Ste 2114, Salt Lake City, UT 84101-3413 | 2011-04-01 |
| 1790086379 | Canyon Medical Solutions | Hospice Care, Community Based | 1940 S 1600 E, Salt Lake City, UT 84105-3868 | 2010-11-12 |
| 1093865586 | Lighthouse Hospice LLC | Hospice Care, Community Based | 6794 S 1300 E, Salt Lake City, UT 84121-2719 | 2007-01-10 |
| 1508952409 | Good Shepherd Home Care and Hospice, Inc. | Hospice Care, Community Based | 5383 S 900 E, Ste 102, Salt Lake City, UT 84117-7249 | 2006-10-05 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84119 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.