Provider Demographics
NPI:1518217090
Name:DILL HOLDINGS LLC
Entity Type:Organization
Organization Name:DILL HOLDINGS LLC
Other - Org Name:ONECARE HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:BALLIF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-471-0388
Mailing Address - Street 1:11576 S STATE ST
Mailing Address - Street 2:SUITE 101B
Mailing Address - City:DRAPER
Mailing Address - State:UT
Mailing Address - Zip Code:84020-6431
Mailing Address - Country:US
Mailing Address - Phone:801-542-7384
Mailing Address - Fax:
Practice Address - Street 1:11576 S STATE ST
Practice Address - Street 2:SUITE 101B
Practice Address - City:DRAPER
Practice Address - State:UT
Practice Address - Zip Code:84020-6431
Practice Address - Country:US
Practice Address - Phone:801-542-7384
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-12
Last Update Date:2012-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT467214Medicare Oscar/Certification