Provider Demographics
NPI:1780272880
Name:APPLEGATE HOMECARE & HOSPICE, LLC
Entity type:Organization
Organization Name:APPLEGATE HOMECARE & HOSPICE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:TRACI
Authorized Official - Middle Name:LYNNE
Authorized Official - Last Name:DAY
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:801-589-8670
Mailing Address - Street 1:1492 E RIDGELINE DR STE 1
Mailing Address - Street 2:
Mailing Address - City:OGDEN
Mailing Address - State:UT
Mailing Address - Zip Code:84405-4103
Mailing Address - Country:US
Mailing Address - Phone:801-621-4027
Mailing Address - Fax:801-399-9740
Practice Address - Street 1:1492 E RIDGELINE DR STE 1
Practice Address - Street 2:
Practice Address - City:OGDEN
Practice Address - State:UT
Practice Address - Zip Code:84405-4103
Practice Address - Country:US
Practice Address - Phone:801-621-4027
Practice Address - Fax:801-399-9740
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-05
Last Update Date:2021-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health