=====================================================
General NPI Number Information
=====================================================
NPI Number | 1366687865
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SOLUTIONS FOR HOME HEALTH AND HOSPICE
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/11/2008
-----------------------------------------------------
Last Update Date | 06/22/2021
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3665 S 8400 W STE 200
-----------------------------------------------------
City | MAGNA
-----------------------------------------------------
State | UT
-----------------------------------------------------
Zip | 84044-4908
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 385-522-2906
-----------------------------------------------------
Fax | 385-313-8450
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3665 S 8400 W STE 200
-----------------------------------------------------
City | MAGNA
-----------------------------------------------------
State | UT
-----------------------------------------------------
Zip | 84044-4908
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 801-318-1420
-----------------------------------------------------
Fax | 385-347-5331
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | MAHOGANI MADRIGAL
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 385-522-2906
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number | 2017-HHA-UT000349
-----------------------------------------------------
License Number State | UT
-----------------------------------------------------