Provider Demographics
NPI:1497703870
Name:COMMUNITY NURSING SERVICE
Entity Type:Organization
Organization Name:COMMUNITY NURSING SERVICE
Other - Org Name:CNS HOME HEALTH & HOSPICE, CNS VISITING NURSE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:BRENT
Authorized Official - Middle Name:D
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-233-6100
Mailing Address - Street 1:2830 S REDWOOD RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:WEST VALLEY CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84119-5625
Mailing Address - Country:US
Mailing Address - Phone:801-233-6100
Mailing Address - Fax:801-233-6110
Practice Address - Street 1:2830 S REDWOOD RD
Practice Address - Street 2:SUITE A
Practice Address - City:WEST VALLEY CITY
Practice Address - State:UT
Practice Address - Zip Code:84119-5625
Practice Address - Country:US
Practice Address - Phone:801-233-6100
Practice Address - Fax:801-233-6110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-05
Last Update Date:2015-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT2015-HHA-313251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT=========007Medicaid
UT=========007Medicaid