LIFE CARE AT HOME OF UTAH INC. NPI 1700881505

NPI Information

NPI: 1700881505
Provider Name: LIFE CARE AT HOME OF UTAH, INC.

Doing Business As: AFFINITY HOSPICE OF LIFE

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
2200 WEST PARKWAY BLVD
STE 200
SALT LAKE CITY, UT
ZIP 84119
Phone: (801) 973-0217
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LIFE CARE AT HOME OF UTAH, INC. is a hospice care community based in Salt Lake City, UT. LIFE CARE AT HOME OF UTAH, INC. NPI is 1700881505. The provider is registered as an organization entity type.
The provider Is Doing Business As Affinity Hospice Of Life.

The provider's business location address is:

2200 WEST PARKWAY BLVD
STE 200
SALT LAKE CITY, UT
ZIP 84119-099
Phone: (801) 973-0217
Fax: (801) 973-0229

The provider's authorized official is Pam Rau .
The authorized official title is Vice President Finance and has the following contact phone number (423) 473-5280.

The enumeration date for this NPI number is 6/17/2005 and was last updated on 1/24/2013.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251G00000X	Hospice Care, Community Based		2005-HOSPICE-66167	UTAH	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	=========001	MEDICAID	UTAH
2	100509587	MEDICAID	NEVADA
3	461527	MEDICARE OSCAR/CERTIFICATION	UTAH
4	100505837	MEDICAID	NEVADA

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: 11/14/2023

NPI Synchronization or Removal

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