Organization
AHCCK LLC
Active
Parent organization
ROCKY MOUNTAIN HOME HEALTH, LLC
Other names
Country Home Health Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
ROCKY MOUNTAIN HOME HEALTH, LLC
Authorized official
MR. DEE R BANGERTER (CEO/PRESIDENT)
(801) 397-4000
Entity
Organization
Contact information
Practice address
9370 W STOCKTON BLVD, STE 130, ELK GROVE, CA 95758-8013
(916) 691-4100
(916) 691-4111
Mailing address
576 W. 900 S., SUITE 260, WOOD CROSS, UT 84010-8127
(801) 397-4054
(801) 397-4196
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
100000487
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CGP166248
CALIFORNIA CHILDREN SERVICES
CA
05
—
HHA07404G
—
CA
01
—
ZZZ03663Z
BLUE SHIELD OF CALIFORNIA
CA
Enumeration date
06/30/2005
Last updated
06/10/2016
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