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PINE MOUNTAIN HOME HEALTH, LLC
NPI 1639492556
Home Health in Holladay, UT

Active since March 05, 2010
5200 HIGHLAND DR, SUITE 200, HOLLADAY, UT 84117(801) 277-3298(801) 277-3598 Get Directions Write a Review

NPPES record last updated: February 21, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pine Mountain Home Health, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PINE MOUNTAIN HOME HEALTH, LLC (NPI 1639492556) is a healthcare organization registered as a home health in Holladay, Utah and active in the NPI registry since March 2010. The organization lists Trace D. Osborne, Accountant, as its authorized official.

NPPES Registry Identity

NPI1639492556
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NamePINE MOUNTAIN HOME HEALTH, LLC
Location Address5200 HIGHLAND DR, SUITE 200Holladay, UT 84117-7057
Mailing Address5200 Highland Dr, Suite 200Holladay, UT 84117-7057 · (801) 277-3298 · Fax (801) 277-3598
Phone(801) 277-3298
Fax(801) 277-3598
Organization SubpartNo
Authorized OfficialTrace D. OsborneAccountant · (801) 277-3298
Enumeration DateMarch 5, 2010
Last NPPES UpdateFebruary 21, 2014
✔ NPI 1639492556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
5200 HIGHLAND DR, Holladay, UT 84117
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Other Identifiers 1

Medicare OSCAR/certification467318UT

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pine Mountain Home Health, LLC's NPI number?

The NPI number for Pine Mountain Home Health, LLC is 1639492556. It was assigned to this organization in the NPPES registry on March 5, 2010.

Where is Pine Mountain Home Health, LLC located?

Pine Mountain Home Health, LLC is located at 5200 Highland Dr Suite 200, Holladay, UT 84117. The listed phone number is (801) 277-3298.

What is Pine Mountain Home Health, LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Pine Mountain Home Health, LLC was last updated on February 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.