MEDICARE: ONE SOURCE CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner
2	111NR0400X	Rehabilitation Chiropractor

General Provider Information

NPI Number	:	1518786698
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ONE SOURCE CARE LLC

Provider Business Mailing Address
First Line	:	1704 S STATE ST
Second Line	:
City	:	OREM
State	:	UT
Zip	:	84097-8011
Country	:	US
Telephone Number	:	801-215-9401
Fax Number	:	888-622-9950

Provider Business Practice Location Address
First Line	:	1972 W 5400 S
Second Line	:
City	:	TAYLORSVILLE
State	:	UT
Zip	:	84129-1459
Country	:	US
Telephone Number	:	801-215-9401
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DANIEL LAFONTAINE
Credential	:	DC
Telephone Number	:	801-215-9401

Provider Enumeration Date	:	10/07/2024
Last Update Date	:	11/19/2024

Similar Medicare Providers

1528327137 — UPRI TAYLORSVILLE
Practice Location Address:

1972 W 5400 S , SUITE 100
TAYLORSVILLE, UT
84129-1459

Practice Phone: 801-281-0555
Practice Fax: 801-281-0444

1205237799 — RACHEL JENKINS-LLOYD APRN, PMHNP-BC
Practice Location Address:

1972 W 5400 S
TAYLORSVILLE, UT
84129-1459

Practice Phone: 801-598-7565
Practice Fax:

1558871590 — INTERVENTIONAL MEDICAL CENTER
Practice Location Address:

1972 W 5400 S
TAYLORSVILLE, UT
84129-1459

Practice Phone: 801-998-8256
Practice Fax: 801-849-0340

1821028861 — DR. ROMAN D. HENTISH D.C.
Practice Location Address:

1972 W 5400 S
TAYLORSVILLE, UT
84118-1459

Practice Phone: 702-281-6847
Practice Fax:

1336294602 — HEALTHQUEST OF TAYLORSVILLE
Practice Location Address:

1972 W 5400 S
TAYLORSVILLE, UT
84118-1459

Practice Phone: 801-417-8282
Practice Fax: 801-417-8383

1629231287 — WATTS LLC
Practice Location Address:

1972 W 5400 S
TAYLORSVILLE, UT
84118-1459

Practice Phone: 801-613-4500
Practice Fax:

Directions to “ONE SOURCE CARE LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.