Healthcare Provider Details

I. General information

NPI: 1992943575
Provider Name (Legal Business Name): INTERMOUNTAIN HOME HEALTH INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/04/2009
Last Update Date: 07/31/2023
Certification Date: 07/31/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 E FORT UNION BLVD STE B
MIDVALE UT
84047-2391
US

IV. Provider business mailing address

5882 S 900 E STE 101
MURRAY UT
84121-1683
US

V. Phone/Fax

Practice location:
  • Phone: 801-694-1198
  • Fax: 801-820-4151
Mailing address:
  • Phone: 801-542-7150
  • Fax: 801-542-7154

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateUT

VIII. Authorized Official

Name: MR. JOSHUA OLSCHEWSKI
Title or Position: CEO
Credential: RN
Phone: 801-694-1198