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NPI Code Detail

MEDICARE: OHANA HOME HEALTH

MEDICARE: OHANA HOME HEALTH
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
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1891177283
Entity Type Code : Organization
Provider Name (Legal Business Name) : OHANA HOME HEALTH
Provider Business Mailing Address
First Line : PO BOX 1494
Second Line :
City : WEST JORDAN
State : UT
Zip : 84084-8494
Country : US
Telephone Number : 801-903-2595
Fax Number : 801-999-7157
Provider Business Practice Location Address
First Line : 623 E FORT UNION BLVD
Second Line : SUITE 108
City : MIDVALE
State : UT
Zip : 84047-5528
Country : US
Telephone Number : 801-903-2595
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : MR. MIKE LOFGRAN
Credential :
Telephone Number : 801-231-8811
Provider Enumeration Date : 06/23/2015
Last Update Date : 06/23/2015

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Directions to “OHANA HOME HEALTH ” Practice Location

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