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GOOD SHEPHERD HOMECARE AND HOSPICE OF EASTERN UTAH INC. NPI 1184820854


NPI Information

NPI: 1184820854
Provider Name: GOOD SHEPHERD HOMECARE AND HOSPICE OF EASTERN UTAH, INC.
Classification: Home Health - 251E00000X
Entity Type: Organization

CLIA Number: 46D1050128

Address:
266 W 100 N
STE 2
VERNAL, UT
ZIP 84078
Phone: (435) 789-0499
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GOOD SHEPHERD HOMECARE AND HOSPICE OF EASTERN UTAH, INC. is a home health in Vernal, 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. GOOD SHEPHERD HOMECARE AND HOSPICE OF EASTERN UTAH, INC. NPI is 1184820854. The provider is registered as an organization entity type.

The provider's business location address is:

266 W 100 N
STE 2
VERNAL, UT
ZIP 84078
Phone: (435) 789-0499
Fax: (435) 789-0498

The provider's authorized official is Walter M Matjasich .
The authorized official title is Administrator and has the following contact phone number (801) 277-6474.

The CLIA number assigned to this NPI record is 46D1050128 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/21/2007 and was last updated on 5/16/2023.


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 Health467237UTAHYes

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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