DIVERSIFIED HOME CARE LLC (NPI# 1972045227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972045227 |
| Entity Type | Organization |
| Organization Name | DIVERSIFIED HOME CARE LLC |
| Practice Address |
10757 S River Front Pkwy 110 South Jordan UT 84095-3545 |
| Practice Telephone | 8016359619 |
| Mailing Telephone | 8016359619 |
| Enumeration Date | 2016-11-16 |
| Last Update Date | 2016-11-16 |
| Authorized Official Name | ALEX N WINDER (OWNER) |
| Authorized Official Telephone | 8016359619 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
Nursing & Custodial Care Facilities | ||
| N | 347C00000X | Private Vehicle | Transportation Services | ||
| Y | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740655398 | Diversified Home Care LLC | In Home Supportive Care | 111 Westport Plaza Ste. 600, St. Louis, MO 63146 | 2015-12-08 |
| Street Address |
10757 S RIVER FRONT PKWY 110 |
| City | SOUTH JORDAN |
| State | UT |
| Zip Code | 84095-3545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275922312 | Golden Age Transport LLC | Non-emergency Medical Transport (VAN) | 10757 S River Front Pkwy, #110, South Jordan, UT 84095-3545 | 2015-01-13 |
| 1740679885 | Alex Winder | Driver | 10757 S River Front Pkwy, #110, South Jordan, UT 84095-3545 | 2015-01-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033745393 | Beverly Laraine Williams | Social Worker | 11260 S River Heights Drive, South Jordan, UT 84095 | 2020-03-19 |
| 1265902902 | Sarah Richele Kelley | Specialist/Technologist | 10236 Alder Grovey Way, South Jordan, UT 84095 | 2018-11-26 |
| 1326528837 | Kristi Couse | Massage Therapist | 10679 S 2200 W Apt 2, South Jordan, UT 84095 | 2018-08-15 |
| 1821516063 | River Crossing Dental Professional Corporation | Clinic/Center | 12427 South 4000 West, Suite #200, Riverton, UT 84095 | 2017-09-08 |
| 1245755719 | Staci Stout | Dental Hygienist | 3113 W Swiss Pass Cir, South Jordan, UT 84095 | 2017-08-07 |
| 1437698750 | Ryan Sears | Dentist | 10894 So. River Front Parkway, South Jordan, UT 84095 | 2017-02-20 |
| 1366989931 | Ultimate Sports Regenerative Medicine | Chiropractor | 1098 W. South Jordan Pkwy, Suite 101, South Jordan, UT 84095 | 2017-01-20 |
| 1306393889 | Tal Quirl | Optometrist | 3571 W. 10400 S., South Jordan, UT 84095 | 2016-09-01 |
| 1023562667 | Sevon Taroian | Social Worker | 11260 River Heights Drive, South Jordan, UT 84095 | 2016-08-11 |
| 1952762932 | Megan Buckley | Developmental Therapist | 881 Baxter Drive, Ste 100, South Jordan, UT 84095 | 2016-03-17 |
| Find all providers in zip 84095 | ||||
| Taxonomy Code | 343900000X |
| Grouping | Transportation Services |
| Classification | Non-emergency Medical Transport (VAN) |
| A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275922312 | Golden Age Transport LLC | Non-emergency Medical Transport (VAN) | 10757 S River Front Pkwy, #110, South Jordan, UT 84095-3545 | 2015-01-13 |
| 1245572080 | Guardian Transportation | Non-emergency Medical Transport (VAN) | 9567 S Misty Oaks Cir, South Jordan, UT 84095-3303 | 2013-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003446303 | Trusted Transportation | Non-emergency Medical Transport (VAN) | 260 E 200 S, Orem, UT 84058-5553 | 2020-01-25 |
| 1699319079 | Silver Cross Transports | Non-emergency Medical Transport (VAN) | 922 S Daisy Dr, Fruit Heights, UT 84037-3234 | 2019-10-29 |
| 1205497864 | Starzz Transportation | Non-emergency Medical Transport (VAN) | 3570 S 500 W, South Salt Lake, UT 84115-4236 | 2019-06-25 |
| 1164981932 | Arches Home Care, Inc. | Non-emergency Medical Transport (VAN) | 1385 W 2200 S Ste 203, West Valley City, UT 84119 | 2019-03-19 |
| 1952878936 | Sush LLC | Non-emergency Medical Transport (VAN) | 2019 E Riverside Dr Ste A102, St George, UT 84790-8692 | 2018-10-29 |
| 1265924708 | Travis Scothern | Non-emergency Medical Transport (VAN) | 8925 S Cold Water Dr Apt 2134, Sandy, UT 84094-1885 | 2018-05-31 |
| 1447749155 | William Patrick Sullenger | Non-emergency Medical Transport (VAN) | 7851 S Chadbourne Dr, Cottonwood Heights, UT 84121-5806 | 2018-05-08 |
| 1134621550 | Pegasus Lifts Northern Utah, LLC | Non-emergency Medical Transport (VAN) | 1361 N 1075 W Ste 10, Farmington, UT 84025-2876 | 2018-03-01 |
| 1205386695 | Loads of Love, LLC | Non-emergency Medical Transport (VAN) | 272 South 2175 West, Lehi, UT 84043 | 2016-10-10 |
| 1053762765 | Comfort At Home Care LLC | Non-emergency Medical Transport (VAN) | 210 N Shirttail Way, Blanding, UT 84511-3220 | 2016-06-23 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH JORDAN |
| Zip Code | 84095 |
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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.