Healthcare Provider Details

I. General information

NPI: 1386793123
Provider Name (Legal Business Name): ENVISION HOME HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/10/2007
Last Update Date: 10/03/2022
Certification Date: 10/03/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1345 W 1600 N # 202
OREM UT
84057-2431
US

IV. Provider business mailing address

1345 W 1600 N # 202
OREM UT
84057-2431
US

V. Phone/Fax

Practice location:
  • Phone: 801-225-7971
  • Fax: 866-899-2356
Mailing address:
  • Phone: 801-225-7971
  • Fax: 866-899-2356

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number2013-HOSPICE-80460
License Number StateUT

VIII. Authorized Official

Name: SHERIE STEWART
Title or Position: COO
Credential:
Phone: 801-225-7971