Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
ROCKY MOUNTAIN PERSONAL CARE LLC
Active
Organization
ROCKY MOUNTAIN PERSONAL CARE LLC
Active
Other names
Rocky Mountain Skilled Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEE R BANGERTER (CEO)
(801) 397-4000
Entity
Organization
Contact information
Practice address
576 W 900 S, SUITE 101, WOODS CROSS, UT 84010-8194
(801) 397-4054
Mailing address
5242 S COLLEGE DR, STE 340, SALT LAKE CITY, UT 84123-2653
(801) 397-4000
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2014-HHA-UT000638
STATE HOME HEALTH AGENCY NUMBER
—
01
—
2014-PCA-UT000614
STATE PERSONAL CARE LICENSE NUMBER
UT
01
—
46D2076467
CLIA NUMBER
UT
Enumeration date
12/26/2013
Last updated
05/18/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up