Healthcare Provider Details

I. General information

NPI: 1821921180
Provider Name (Legal Business Name): PAXTON LOVING HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

667 N SIR PATRICK DR
SALT LAKE CITY UT
84116-1826
US

IV. Provider business mailing address

667 N SIR PATRICK DR
SALT LAKE CITY UT
84116-1826
US

V. Phone/Fax

Practice location:
  • Phone: 317-746-0726
  • Fax: 317-746-0726
Mailing address:
  • Phone: 317-746-0726
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MIISHA PAXTON
Title or Position: OWNER
Credential:
Phone: 317-746-0726