Healthcare Provider Details

I. General information

NPI: 1427432467
Provider Name (Legal Business Name): HOME CAREGIVERS PARTNERSHIP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2015
Last Update Date: 03/22/2024
Certification Date: 03/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1680 W HIGHWAY 40 STE 205
VERNAL UT
84078-4142
US

IV. Provider business mailing address

450 S 900 E STUITE 100
SALT LAKE CITY UT
84102-2981
US

V. Phone/Fax

Practice location:
  • Phone: 435-781-6566
  • Fax: 435-781-6567
Mailing address:
  • Phone: 801-485-6166
  • Fax: 801-531-1949

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 Number2014HOSPICEUT000591
License Number StateUT

VIII. Authorized Official

Name: BREEZIE JEAN LISKEY
Title or Position: VP OF OPERATIONS
Credential:
Phone: 801-456-7874