Provider Demographics
NPI:1295517696
Name:DELTA VALLEY HOME HEALTH LLC
Entity type:Organization
Organization Name:DELTA VALLEY HOME HEALTH LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/ PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HOGAN
Authorized Official - Middle Name:
Authorized Official - Last Name:FOWLES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:435-406-1416
Mailing Address - Street 1:520 TOPAZ BLVD STE 204
Mailing Address - Street 2:
Mailing Address - City:DELTA
Mailing Address - State:UT
Mailing Address - Zip Code:84624-4103
Mailing Address - Country:US
Mailing Address - Phone:435-406-1416
Mailing Address - Fax:
Practice Address - Street 1:520 TOPAZ BLVD STE 204
Practice Address - Street 2:
Practice Address - City:DELTA
Practice Address - State:UT
Practice Address - Zip Code:84624-4103
Practice Address - Country:US
Practice Address - Phone:435-406-1416
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-19
Last Update Date:2025-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health