Provider Demographics
NPI:1588479927
Name:FIRST CHOICE HOME HEALTH OF SOUTHERN UTAH
Entity type:Organization
Organization Name:FIRST CHOICE HOME HEALTH OF SOUTHERN UTAH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:BEAU
Authorized Official - Last Name:SORENSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-319-5926
Mailing Address - Street 1:560 W 800 N # 204
Mailing Address - Street 2:
Mailing Address - City:OREM
Mailing Address - State:UT
Mailing Address - Zip Code:84057-3746
Mailing Address - Country:US
Mailing Address - Phone:801-434-4100
Mailing Address - Fax:
Practice Address - Street 1:2069 N MAIN ST STE 106
Practice Address - Street 2:
Practice Address - City:CEDAR CITY
Practice Address - State:UT
Practice Address - Zip Code:84721-5602
Practice Address - Country:US
Practice Address - Phone:435-865-7481
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-12
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health