GRANDEE VILLAGE HOME HEALTH CARE SERVICES LLC (NPI# 1881083590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881083590 |
| Entity Type | Organization |
| Organization Name | GRANDEE VILLAGE HOME HEALTH CARE SERVICES LLC |
| Practice Address |
3712 S Golden Grain Cir Salt Lake City UT 84120-3393 |
| Practice Telephone | 8017550296 |
| Mailing Telephone | 8017550296 |
| Enumeration Date | 2015-01-19 |
| Last Update Date | 2015-01-19 |
| Authorized Official Name | MYRON SINJU (PRESIDENT) |
| Authorized Official Telephone | 8017550296 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Street Address |
3712 S GOLDEN GRAIN CIR |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84120-3393 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891349213 | Eli Kenny | Physical Therapist | 336 South 4155 West, West Valley City, UT 84120 | 2019-07-25 |
| 1841765377 | Wan Jen Horng | Pharmacist | 4052 Pioneer Parkway, # 111, West Valley City, UT 84120 | 2018-10-11 |
| 1841784220 | Andrea Savas | Physical Therapist | 3460 South 4155 West, West Valley City, UT 84120 | 2018-06-19 |
| 1235628223 | Meds In Motion, LLC | Pharmacy | 12101 S State St, Suite 101a, Draper, UT 84120 | 2018-05-04 |
| 1316477383 | Kendra Lindsey | Social Worker | 4052 W 3390 S Suite 105, West Valley City, UT 84120 | 2017-06-13 |
| 1154726842 | National Vision, Inc. | Technician/Technologist | 2569 South 5600 West, Ste A 550, West Valley, UT 84120 | 2014-10-24 |
| 1154637825 | Granger Pediatric Dentistry | Clinic/Center | 3725 W. 4100 S., Suite #260, West Valley City, UT 84120 | 2010-08-19 |
| 1104060714 | Comprehensive Medical Management, PC | Physical Medicine & Rehabilitation | 4052 W Pioneer Parkway, Suite 208, West Valley City, UT 84120 | 2009-04-27 |
| 1336384197 | Bamileke Sinju Sinju | Home Health | 3712 South Golden Grain Cir, West Valley City, UT 84120 | 2008-12-09 |
| 1164673331 | Empowered for Life, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5004 West Janette Drive, West Valley City, UT 84120 | 2008-10-07 |
| Find all providers in zip 84120 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518422 | Ascent Physical Therapy and Wellness | Home Health | 1549 W Haslam Cir, Salt Lake City, UT 84116-1633 | 2020-11-03 |
| 1356808653 | Nphalanx LLC | Home Health | 404 E 4500 S Ste B22, Salt Lake City, UT 84107-2776 | 2019-02-23 |
| 1750824553 | Emily R. Carlson | Home Health | 310 E Downington Ave, #3, Salt Lake City, UT 84115-2208 | 2016-11-28 |
| 1801286976 | Robert B Canaan | Home Health | 1900 S Douglas St Apt 2, Salt Lake City, UT 84105-3625 | 2015-01-28 |
| 1699197830 | Gsded, LLC | Home Health | 2020 S 1300 E, Suite C, Salt Lake City, UT 84105-3654 | 2014-01-07 |
| 1477980803 | Yswecan, LLC | Home Health | 5320 S 900 E Ste 280, Salt Lake City, UT 84117-7244 | 2013-09-30 |
| 1851686166 | Peak Specialty Group | Home Health | 1220 E 3900 S Ste 4d, Salt Lake City, UT 84124-1383 | 2011-06-14 |
| 1750675633 | Youthtrack, Inc. | Home Health | 261 E 4500 S, Salt Lake City, UT 84107-3865 | 2011-06-08 |
| 1114218781 | Valeo Home Healthcare Services | Home Health | 6076 South 900 East, Suite 150, Salt Lake City, UT 84121 | 2011-04-29 |
| 1689988933 | Fammull, Inc. | Home Health | 5330 S 900 E, Suite 260, Salt Lake City, UT 84117-7261 | 2010-07-28 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84120 |
Please comment or provide details below to improve the information on GRANDEE VILLAGE HOME HEALTH CARE SERVICES LLC.
| 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.