Provider Demographics
NPI:1578899563
Name:PEOPLEFIRST HOMECARE & HOSPICE OF UTAH, LLC
Entity Type:Organization
Organization Name:PEOPLEFIRST HOMECARE & HOSPICE OF UTAH, LLC
Other - Org Name:HEARTS FOR HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SR. VICE PRESIDENT OF REIMBURSEMENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:L
Authorized Official - Last Name:ROTHGERBER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-596-7300
Mailing Address - Street 1:677 EAST QUALITY DR
Mailing Address - Street 2:STE 201
Mailing Address - City:AMERICAN FORK
Mailing Address - State:UT
Mailing Address - Zip Code:84003-3305
Mailing Address - Country:US
Mailing Address - Phone:801-772-0243
Mailing Address - Fax:801-763-0293
Practice Address - Street 1:677 EAST QUALITY DR
Practice Address - Street 2:STE 201
Practice Address - City:AMERICAN FORK
Practice Address - State:UT
Practice Address - Zip Code:84003-3305
Practice Address - Country:US
Practice Address - Phone:801-772-0243
Practice Address - Fax:801-763-0293
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-26
Last Update Date:2009-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT2008HOSPICE49591251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV100510076Medicaid
UT0200100106001Medicaid
UT0200100106001Medicaid