Healthcare Provider Details

I. General information

NPI: 1972465375
Provider Name (Legal Business Name): 1 VISION HOME HEALTH AND HOSPICE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/25/2025
Last Update Date: 11/25/2025
Certification Date: 11/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 S 100 E
PAYSON UT
84651-2201
US

IV. Provider business mailing address

55 S 100 E
PAYSON UT
84651-2201
US

V. Phone/Fax

Practice location:
  • Phone: 801-360-6264
  • Fax: 801-459-7987
Mailing address:
  • Phone: 801-360-6264
  • Fax: 801-459-7987

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: BONNIE L BALLARD
Title or Position: MANAGER
Credential:
Phone: 801-360-6264