=====================================================
General NPI Number Information
=====================================================
NPI Number | 1467507756
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | COZY HEALTHCARE INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/24/2007
-----------------------------------------------------
Last Update Date | 10/16/2019
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6985 S UNION PARK CTR STE 285
-----------------------------------------------------
City | COTTONWOOD HEIGHTS
-----------------------------------------------------
State | UT
-----------------------------------------------------
Zip | 84047-6006
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 801-278-4663
-----------------------------------------------------
Fax | 801-352-1318
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6985 S UNION PARK CTR STE 285
-----------------------------------------------------
City | COTTONWOOD HEIGHTS
-----------------------------------------------------
State | UT
-----------------------------------------------------
Zip | 84047-6006
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 801-278-4663
-----------------------------------------------------
Fax | 801-352-1318
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | MR. AARON AIZAD
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 801-278-4663
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number | 2006HHA47673
-----------------------------------------------------
License Number State | UT
-----------------------------------------------------