Provider Demographics
NPI:1972932861
Name:MOUNTAIN VIEW HOME HEALTH AND HOSPICE LLC
Entity Type:Organization
Organization Name:MOUNTAIN VIEW HOME HEALTH AND HOSPICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FLORENCE
Authorized Official - Middle Name:NYECHE
Authorized Official - Last Name:GEO-JAJA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-414-4995
Mailing Address - Street 1:1813 E 9845 S
Mailing Address - Street 2:
Mailing Address - City:SANDY
Mailing Address - State:UT
Mailing Address - Zip Code:84092
Mailing Address - Country:US
Mailing Address - Phone:801-414-4995
Mailing Address - Fax:
Practice Address - Street 1:9103 S 1300 W
Practice Address - Street 2:SUITE 102A
Practice Address - City:WEST JORDAN
Practice Address - State:UT
Practice Address - Zip Code:84088-6706
Practice Address - Country:US
Practice Address - Phone:801-414-4995
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-01
Last Update Date:2014-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health