Provider Demographics
NPI:1043744782
Name:RATHBURN HEALTHCARE LLC
Entity Type:Organization
Organization Name:RATHBURN HEALTHCARE LLC
Other - Org Name:HOME NURSING FOR UTAH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:WHATCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-560-2761
Mailing Address - Street 1:152 W BURTON AVE STE F
Mailing Address - Street 2:
Mailing Address - City:SOUTH SALT LAKE
Mailing Address - State:UT
Mailing Address - Zip Code:84115-2651
Mailing Address - Country:US
Mailing Address - Phone:801-474-1212
Mailing Address - Fax:801-575-1472
Practice Address - Street 1:152 W BURTON AVE STE F
Practice Address - Street 2:
Practice Address - City:SOUTH SALT LAKE
Practice Address - State:UT
Practice Address - Zip Code:84115-2651
Practice Address - Country:US
Practice Address - Phone:801-474-1212
Practice Address - Fax:801-575-1472
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-19
Last Update Date:2022-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health