Provider Demographics
NPI:1063910826
Name:HOME HEALTH PARTNER SERVICES, LLC
Entity type:Organization
Organization Name:HOME HEALTH PARTNER SERVICES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:CRANDALL
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER/PARTNER
Authorized Official - Phone:208-589-4783
Mailing Address - Street 1:415 SOUTH MEDICAL DRIVE
Mailing Address - Street 2:SUITE A100
Mailing Address - City:BOUNTIFUL
Mailing Address - State:UT
Mailing Address - Zip Code:84010
Mailing Address - Country:US
Mailing Address - Phone:801-335-0522
Mailing Address - Fax:801-335-0523
Practice Address - Street 1:415 SOUTH MEDICAL DRIVE
Practice Address - Street 2:SUITE A100
Practice Address - City:BOUNTIFUL
Practice Address - State:UT
Practice Address - Zip Code:84010
Practice Address - Country:US
Practice Address - Phone:801-335-0522
Practice Address - Fax:801-335-0523
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HOME HEALTH PARTNERS SERVICES, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-01-26
Last Update Date:2018-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health