At Home Care And Health Services Llc, NPI 1609315431
PACE Provider Organization in Ivins, UT, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1609315431
NPI Entity Type Organization
Provider Name At Home Care And Health Services Llc
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 639 S 315 E, Ivins, UT, US
Provider Mailing Address 639 S 315 E, Ivins, UT, US, 847385054
Is Sole Proprietor? No
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Organization Official

Official Name MRS. OWNER Ashlyn Teed
Official Position ADMINISTRATOR
Phone 435-256-0867

Primary Taxonomy

Taxonomy Code

251T00000X

Taxonomy Name PACE Provider Organization
Classification

Program of All-Inclusive Care for the Elderly (PACE) Provider Organization

Group

Agencies

License No. 2016-PCA-UT000780
License State UT
Description A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights.

Business Address

At Home Care And Health Services Llc
639 S 315 E

Ivins, UT, US

Phone: 435-256-0867
Fax: 435-652-3675

Mailing Address

At Home Care And Health Services Llc
639 S 315 E
Ivins, UT, US
ZIP 847385054
Phone: 435-256-0867
Fax: 435-652-3675

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

347C00000X

Transportation Services

Private Vehicle

2016-PCA-UT000780 UT No

385H00000X

Respite Care Facility

Respite Care

2016-PCA-UT000780 UT No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
1700331162 UT MEDICAID 05
1700331162 UT MOLINA 01
1700331162 UT BLUE CROSS/BLUE SHIELD 01
1700331162 UT SELECT HEALTH 01

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1902227101

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Empower You Therapy

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Dylan Smart

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8031 S 700 E

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1609591007

Alexis Suzanne Goodwin

Individual

Behavior Technician

2025 S 50 W

Bountiful, UT

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