Healthcare Provider Details

I. General information

NPI: 1659868388
Provider Name (Legal Business Name): HOME CARE PROVIDERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2018
Last Update Date: 04/18/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

610 E SOUTH TEMPLE STE 30
SALT LAKE CITY UT
84102-1140
US

IV. Provider business mailing address

610 E SOUTH TEMPLE STE 30
SALT LAKE CITY UT
84102-1140
US

V. Phone/Fax

Practice location:
  • Phone: 801-717-1218
  • Fax:
Mailing address:
  • Phone: 801-717-1218
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number StateUT

VIII. Authorized Official

Name: JARED LOGAN ZEMP
Title or Position: PRESIDENT & OWNER
Credential:
Phone: 801-717-1218