Healthcare Provider Details

I. General information

NPI: 1104135250
Provider Name (Legal Business Name): RENEW HOME HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2010
Last Update Date: 02/27/2025
Certification Date: 02/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5280 S COMMERCE DR E160
BOUNTIFUL UT
84010-5982
US

IV. Provider business mailing address

5280 S COMMERCE DR RENEW HOME HEALTH
MURRAY UT
84107-7926
US

V. Phone/Fax

Practice location:
  • Phone: 801-364-4250
  • Fax: 801-994-1278
Mailing address:
  • Phone: 801-364-4250
  • Fax: 801-994-1278

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MRS. STEPHANIE A BEAR
Title or Position: OFFICE MANAGER
Credential:
Phone: 435-753-2438