1538677547 NPI number — AHC HOME HEALTH OF ST GEORGE LLC

Table of content: TRINH LANEE VU MD (NPI 1396716791)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1538677547 NPI number — AHC HOME HEALTH OF ST GEORGE LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
AHC HOME HEALTH OF ST GEORGE LLC
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:
1538677547
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/25/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1934 E RIVERSIDE DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ST GEORGE
Provider Business Mailing Address State Name:
UT
Provider Business Mailing Address Postal Code:
84790-8034
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
435-522-2203
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1934 E RIVERSIDE DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ST GEORGE
Provider Business Practice Location Address State Name:
UT
Provider Business Practice Location Address Postal Code:
84790-8034
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
435-522-2200
Provider Business Practice Location Address Fax Number:
435-522-2212
Provider Enumeration Date:
01/12/2018

Additional Information

Authorized Official

Authorized Official Last Name:
ARNETT
Authorized Official First Name:
FOREST
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
801-447-9860

Provider Taxonomy Codes

  • Taxonomy code: 251G00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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