CCN: 467257 NPI: 1063952505 Organization

Mission Home Health of Salt Lake City

1751 W ALEXANDER ST STE 106
WEST VALLEY CITY, UT 841197610

Contact Information

Phone 8013350522
Fax 8019926590
Enumeration Date 2017-03-02
Last Updated 2025-04-01

Taxonomies

Code: 251E00000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 6

providerType 36

censusDivision 6

providerType 36

censusDivision 6

providerType 36

censusDivision 6

providerType 36

censusDivision 6

providerType 36

censusDivision 6

providerType 36

censusDivision 6

providerType 36

censusDivision 6

providerType 36

censusDivision 6

providerType 36

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 36260

providerType 36

specialPaymentIndicator

carrierCode 03502

localityCode 09