Healthcare Provider Details

I. General information

NPI: 1508791757
Provider Name (Legal Business Name): WASATCH CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 E 200 S STE 1600
SALT LAKE CITY UT
84111-2948
US

IV. Provider business mailing address

250 E 200 S STE 1600
SALT LAKE CITY UT
84111-2948
US

V. Phone/Fax

Practice location:
  • Phone: 801-414-6317
  • Fax:
Mailing address:
  • Phone: 801-414-6317
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: SALAH AWAD
Title or Position: OWNER
Credential:
Phone: 801-414-6317