Provider Demographics
NPI:1033841259
Name:ASSISTING HANDS UTAH, LLC
Entity Type:Organization
Organization Name:ASSISTING HANDS UTAH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:BRAYDEN
Authorized Official - Middle Name:
Authorized Official - Last Name:WHEELER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:435-216-3216
Mailing Address - Street 1:2072 N MAIN ST STE 100
Mailing Address - Street 2:
Mailing Address - City:NORTH LOGAN
Mailing Address - State:UT
Mailing Address - Zip Code:84341-1778
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2072 N MAIN ST STE 100
Practice Address - Street 2:
Practice Address - City:NORTH LOGAN
Practice Address - State:UT
Practice Address - Zip Code:84341-1778
Practice Address - Country:US
Practice Address - Phone:435-216-3216
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-27
Last Update Date:2022-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT2022-PCA-UT001013OtherSTATE OF UTAH LICENSE FOR PERSONAL CARE AGENCY
UT18816OtherNORTH LOGAN CITY BUSINESS LICENSE