Provider Demographics
NPI:1184778607
Name:AHC HOME HEALTH CARE OF MURRAY, LLC
Entity type:Organization
Organization Name:AHC HOME HEALTH CARE OF MURRAY, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:OXNAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-713-3248
Mailing Address - Street 1:151 E 5600 S STE 106
Mailing Address - Street 2:
Mailing Address - City:MURRAY
Mailing Address - State:UT
Mailing Address - Zip Code:84107-8141
Mailing Address - Country:US
Mailing Address - Phone:801-713-3248
Mailing Address - Fax:801-713-3239
Practice Address - Street 1:151 E 5600 S STE 106
Practice Address - Street 2:
Practice Address - City:MURRAY
Practice Address - State:UT
Practice Address - Zip Code:84107-8141
Practice Address - Country:US
Practice Address - Phone:801-713-3248
Practice Address - Fax:801-713-3239
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LHM MAN HHH LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-01-22
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT46-7220Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER