MEDICARE: HOME HEALTH SPECIALISTS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	2011HHA68307	UT

General Provider Information

NPI Number	:	1538436563
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOME HEALTH SPECIALISTS LLC

Provider Business Mailing Address
First Line	:	11 E 200 N
Second Line	:
City	:	OREM
State	:	UT
Zip	:	84057-4737
Country	:	US
Telephone Number	:	801-225-7171
Fax Number	:

Provider Business Practice Location Address
First Line	:	2069 N MAIN ST STE 106
Second Line	:
City	:	CEDAR CITY
State	:	UT
Zip	:	84721-5602
Country	:	US
Telephone Number	:	435-865-7481
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. SCOTT B WOOLLEY
Credential	:
Telephone Number	:	801-225-7171

Provider Enumeration Date	:	11/18/2011
Last Update Date	:	01/09/2020

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