Healthcare Provider Details

I. General information

NPI: 1053638924
Provider Name (Legal Business Name): CASCADE SPRINGS HOME HEALTHCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2010
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1733 S 1100 E
SALT LAKE CITY UT
84105-3482
US

IV. Provider business mailing address

1733 S 1100 E
SALT LAKE CITY UT
84105-3482
US

V. Phone/Fax

Practice location:
  • Phone: 385-460-0988
  • Fax: 801-546-1053
Mailing address:
  • Phone: 385-460-0988
  • Fax: 801-546-1053

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: NATALIE HAVERON
Title or Position: ADMINISTRATOR
Credential: RN
Phone: 385-460-0988