Provider Demographics
NPI:1457742710
Name:ASHBY HOME HEALTH CARE L.L.C.
Entity Type:Organization
Organization Name:ASHBY HOME HEALTH CARE L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CMO
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHRADER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-856-9778
Mailing Address - Street 1:12401 S 450 E UNIT F2
Mailing Address - Street 2:
Mailing Address - City:DRAPER
Mailing Address - State:UT
Mailing Address - Zip Code:84020-7940
Mailing Address - Country:US
Mailing Address - Phone:801-478-2521
Mailing Address - Fax:801-797-8667
Practice Address - Street 1:12401 S 450 E UNIT F2
Practice Address - Street 2:
Practice Address - City:DRAPER
Practice Address - State:UT
Practice Address - Zip Code:84020-7940
Practice Address - Country:US
Practice Address - Phone:801-478-2521
Practice Address - Fax:801-797-8667
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-09
Last Update Date:2015-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT9109874-0160251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health