Provider Demographics
NPI:1366687865
Name:SOLUTIONS FOR HOME HEALTH AND HOSPICE
Entity Type:Organization
Organization Name:SOLUTIONS FOR HOME HEALTH AND HOSPICE
Other - Org Name:WASATCH HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MAHOGANI
Authorized Official - Middle Name:
Authorized Official - Last Name:MADRIGAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:385-522-2906
Mailing Address - Street 1:3665 S 8400 W STE 200
Mailing Address - Street 2:
Mailing Address - City:MAGNA
Mailing Address - State:UT
Mailing Address - Zip Code:84044-4908
Mailing Address - Country:US
Mailing Address - Phone:801-318-1420
Mailing Address - Fax:385-347-5331
Practice Address - Street 1:3665 S 8400 W STE 200
Practice Address - Street 2:
Practice Address - City:MAGNA
Practice Address - State:UT
Practice Address - Zip Code:84044-4908
Practice Address - Country:US
Practice Address - Phone:385-522-2906
Practice Address - Fax:385-313-8450
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-11
Last Update Date:2021-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT2017-HHA-UT000349251E00000X
UT2012-HHA-89011251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
UTUT000349Medicaid
UTUT000349Medicaid