Provider Demographics
NPI:1992943575
Name:INTERMOUNTAIN HOME HEALTH INC.
Entity type:Organization
Organization Name:INTERMOUNTAIN HOME HEALTH INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:
Authorized Official - Last Name:OLSCHEWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:801-694-1198
Mailing Address - Street 1:5882 S 900 E
Mailing Address - Street 2:STE 101
Mailing Address - City:MURRAY
Mailing Address - State:UT
Mailing Address - Zip Code:84121-1683
Mailing Address - Country:US
Mailing Address - Phone:801-542-7150
Mailing Address - Fax:801-542-7154
Practice Address - Street 1:800 E FORT UNION BLVD STE B
Practice Address - Street 2:
Practice Address - City:MIDVALE
Practice Address - State:UT
Practice Address - Zip Code:84047-2391
Practice Address - Country:US
Practice Address - Phone:801-694-1198
Practice Address - Fax:801-820-4151
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-04
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251G00000X
UT332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT6194720001Medicare NSC