Willow Creek Health Care in Salt Lake City - Home Health
Willow Creek Health Care - NPI 1215938469
Willow Creek Health Care is a Home Health in Salt Lake City, Utah. Willow Creek Health Care practices all healthcare services and medical treatments related to Home Health. The NPI Number for Willow Creek Health Care is 1215938469. The last update date is 2007-07-31.
Willow Creek Health Care's current location address is 1935 Vine St, Salt Lake City, Utah. You can contact this provider via phone number 8012819669 and fax number 8012810179. The mailing address for Willow Creek Health Care is 1935 Vine St, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Willow Creek Health Care |
|---|---|
| Address | 1935 Vine St, Salt Lake City, Utah |
| Phone Number | 8012819669 |
| Fax Number | 8012810179 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Osborne D Trace |
| Credentials | CPA |
| Telephone Number | 8012819669 |
NPI Number Detail
| NPI Number | 1215938469 |
|---|---|
| Provider Enumeration Date | 2005-08-09 |
| Last Updated Date | 2007-07-31 |
Provider Mailing Address Detail
| Address | 1935 Vine St |
|---|---|
| City | Salt Lake City |
| State | Utah (UT) |
| Post Code | 841212192 |
| Phone Number | 8012819669 |
| Fax Number | 8012810179 |
Provider's Primary Taxonomy Detail
| Speciality | Home Health |
|---|---|
| Taxonomy | 251E00000X |
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Definition: A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, |
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What is the unique 10-digit identification code issued to Willow Creek Health Care by the Centers for Medicare & Medicaid Services?
The Willow Creek Health Care has been assigned the NPI (National Provider Identifier) 1215938469 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Willow Creek Health Care?
The Willow Creek Health Care is physically situated at 1935 Vine St, in the city of Salt Lake City, state of UT, with the postal code 841212192.
What is Willow Creek Health Care's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Willow Creek Health Care's specialized field of practice is Home Health, and the corresponding taxonomy code that categorizes this area of specialization is 251E00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1215938469 to Willow Creek Health Care?
The Centers for Medicare & Medicaid Services originally issued the 1215938469 to Willow Creek Health Care on 2005-08-09.
As of what date were the details related to Willow Creek Health Care most recently updated or revised?
The information pertaining to Willow Creek Health Care, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-31.
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