Provider Demographics
NPI:1659868388
Name:HOME CARE PROVIDERS
Entity Type:Organization
Organization Name:HOME CARE PROVIDERS
Other - Org Name:CHURCHILL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT & OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JARED
Authorized Official - Middle Name:LOGAN
Authorized Official - Last Name:ZEMP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-717-1218
Mailing Address - Street 1:610 E SOUTH TEMPLE STE 30
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84102-1140
Mailing Address - Country:US
Mailing Address - Phone:801-717-1218
Mailing Address - Fax:
Practice Address - Street 1:610 E SOUTH TEMPLE STE 30
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84102-1140
Practice Address - Country:US
Practice Address - Phone:801-717-1218
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-18
Last Update Date:2018-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT253Z00000X, 385H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No385H00000XRespite Care FacilityRespite Care