Provider Demographics
NPI:1124441993
Name:UTAH HOME HEALTH CARE, LLC
Entity type:Organization
Organization Name:UTAH HOME HEALTH CARE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TAMMARA
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-559-3999
Mailing Address - Street 1:9480 S UNION SQ STE 201
Mailing Address - Street 2:
Mailing Address - City:SANDY
Mailing Address - State:UT
Mailing Address - Zip Code:84070-3466
Mailing Address - Country:US
Mailing Address - Phone:801-559-3999
Mailing Address - Fax:
Practice Address - Street 1:5320 S 900 E STE 280
Practice Address - Street 2:
Practice Address - City:MURRAY
Practice Address - State:UT
Practice Address - Zip Code:84117-7244
Practice Address - Country:US
Practice Address - Phone:801-559-3999
Practice Address - Fax:801-559-3997
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-29
Last Update Date:2020-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT2014-HHA-UT000629253Z00000X, 251E00000X, 251F00000X, 251J00000X
UT2014-PCA-UT000628251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
No251F00000XAgenciesHome Infusion
No251J00000XAgenciesNursing Care