Provider Demographics
NPI:1114254224
Name:PEOPLEFIRST HOMECARE & HOSPICE OF UTAH, LLC
Entity Type:Organization
Organization Name:PEOPLEFIRST HOMECARE & HOSPICE OF UTAH, LLC
Other - Org Name:HEARTS FOR HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SR. VICE PRESIDENT OF REIMBURSEMENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:L
Authorized Official - Last Name:ROTHGERBER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-596-7300
Mailing Address - Street 1:942 CHAMBERS ST
Mailing Address - Street 2:
Mailing Address - City:OGDEN
Mailing Address - State:UT
Mailing Address - Zip Code:84403-5144
Mailing Address - Country:US
Mailing Address - Phone:801-475-6222
Mailing Address - Fax:801-475-6061
Practice Address - Street 1:942 CHAMBERS ST
Practice Address - Street 2:
Practice Address - City:OGDEN
Practice Address - State:UT
Practice Address - Zip Code:84403-5144
Practice Address - Country:US
Practice Address - Phone:801-475-6222
Practice Address - Fax:801-475-6061
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-10
Last Update Date:2009-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT2009-HHA-76517251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT0200100106006Medicaid
UT0200100106006Medicaid