Provider Demographics
NPI:1063748093
Name:PEOPLEFIRST HOMECARE & HOSPICE OF UTAH, LLC
Entity type:Organization
Organization Name:PEOPLEFIRST HOMECARE & HOSPICE OF UTAH, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SR. VICE PRESIDENT OF REIMBURSEMENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:L
Authorized Official - Last Name:ROTHGERBER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-596-7300
Mailing Address - Street 1:942 CHAMBERS ST STE 16
Mailing Address - Street 2:
Mailing Address - City:SOUTH OGDEN
Mailing Address - State:UT
Mailing Address - Zip Code:84403-5131
Mailing Address - Country:US
Mailing Address - Phone:801-475-6222
Mailing Address - Fax:
Practice Address - Street 1:942 CHAMBERS ST STE 16
Practice Address - Street 2:
Practice Address - City:SOUTH OGDEN
Practice Address - State:UT
Practice Address - Zip Code:84403-5131
Practice Address - Country:US
Practice Address - Phone:801-475-6222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-27
Last Update Date:2009-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT2009-HOSPICE-62545251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT0200100106002Medicaid
461541Medicare Oscar/Certification