Provider Demographics
NPI:1194014928
Name:AT HOME HOSPICE CARE, LLC
Entity Type:Organization
Organization Name:AT HOME HOSPICE CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RANDY
Authorized Official - Middle Name:
Authorized Official - Last Name:SWARTWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-746-5558
Mailing Address - Street 1:5278 S PINEMONT DR
Mailing Address - Street 2:SUITE A-120
Mailing Address - City:MURRAY
Mailing Address - State:UT
Mailing Address - Zip Code:84123-2711
Mailing Address - Country:US
Mailing Address - Phone:801-746-5558
Mailing Address - Fax:801-266-0775
Practice Address - Street 1:230 W 200 S STE 2114
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84101-3413
Practice Address - Country:US
Practice Address - Phone:801-746-5558
Practice Address - Fax:801-746-5559
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-01
Last Update Date:2014-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based