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CANYON CREEK HOME HEALTH CARE LLC NPI 1174577753


NPI Information

NPI: 1174577753
Provider Name: CANYON CREEK HOME HEALTH CARE LLC

Doing Business As: PREMIER HOME HEALTH UTAH

Classification: Home Health - 251E00000X
Entity Type: Organization
Address:
3443 S STATE ST STE 9
SOUTH SALT LAKE, UT
ZIP 84115
Phone: (801) 251-1595
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CANYON CREEK HOME HEALTH CARE LLC is a home health in South Salt Lake, UT. The provider is a public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. CANYON CREEK HOME HEALTH CARE LLC NPI is 1174577753. The provider is registered as an organization entity type.
The provider Is Doing Business As Premier Home Health Utah.

The provider's business location address is:

3443 S STATE ST STE 9
SOUTH SALT LAKE, UT
ZIP 84115-914
Phone: (801) 251-1595
Fax: (801) 251-1599

The provider's authorized official is Daniel Cosby .
The authorized official title is Owner and has the following contact phone number (801) 251-1595.

The enumeration date for this NPI number is 5/19/2006 and was last updated on 4/17/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251E00000XHome Health2006-HHA-75037UTAHNo
2251E00000XHome Health2011-HHA-75037UTAHNo
3251E00000XHome Health2013-HHA-75037UTAHNo
4251E00000XHome HealthNo
5251E00000XHome Health2015-HHA-75037UTAHYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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