Provider Demographics
NPI:1174026488
Name:PMA CARE
Entity Type:Organization
Organization Name:PMA CARE
Other - Org Name:RIGHT AT HOME OF SALT LAKE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:BARTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-758-0630
Mailing Address - Street 1:1716 E ORCHARD DR
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84106-3257
Mailing Address - Country:US
Mailing Address - Phone:801-758-0630
Mailing Address - Fax:801-758-0620
Practice Address - Street 1:535 E 4500 S STE D210
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84107-2968
Practice Address - Country:US
Practice Address - Phone:801-758-0630
Practice Address - Fax:801-758-0620
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-13
Last Update Date:2018-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251B00000X, 347C00000X
UT2016-PCA-102355253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251B00000XAgenciesCase Management
No347C00000XTransportation ServicesPrivate Vehicle