Provider Demographics
NPI:1730511643
Name:HOMEFRONT PERSONAL CARE INC
Entity type:Organization
Organization Name:HOMEFRONT PERSONAL CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OFFICE
Authorized Official - Prefix:MRS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:L
Authorized Official - Last Name:MAURER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-763-9486
Mailing Address - Street 1:802 BAMBERGER DRIVE
Mailing Address - Street 2:SUITE C
Mailing Address - City:AMERICAN FORK
Mailing Address - State:UT
Mailing Address - Zip Code:84003
Mailing Address - Country:US
Mailing Address - Phone:801-763-9486
Mailing Address - Fax:801-766-8448
Practice Address - Street 1:796 E PACIFIC DR
Practice Address - Street 2:SUITE B
Practice Address - City:AMERICAN FORK
Practice Address - State:UT
Practice Address - Zip Code:84003-3134
Practice Address - Country:US
Practice Address - Phone:801-763-9486
Practice Address - Fax:801-766-8448
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-01
Last Update Date:2013-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT2013-HHA-UT000584251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health