1518250109 NPI number — ONSITE CARE INC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1518250109 NPI number — ONSITE CARE INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ONSITE CARE INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1518250109
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/30/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
406 W SOUTH JORDAN PKWY STE 300
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SOUTH JORDAN
Provider Business Mailing Address State Name:
UT
Provider Business Mailing Address Postal Code:
84095-3956
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
801-441-1004
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
406 W JORDAN PKWY
Provider Second Line Business Practice Location Address:
SUITE 300
Provider Business Practice Location Address City Name:
SOUTH JORDAN
Provider Business Practice Location Address State Name:
UT
Provider Business Practice Location Address Postal Code:
84095-8409
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
801-441-1004
Provider Business Practice Location Address Fax Number:
801-441-1005
Provider Enumeration Date:
05/16/2011

Additional Information

Authorized Official

Authorized Official Last Name:
LATSIS
Authorized Official First Name:
DARCE
Authorized Official Middle Name:
L
Authorized Official Title or Position:
OPERATIONS MANGER
Authorized Official Telephone Number:
801-441-1002

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  52570631205 , registered in the state of UT ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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