Provider Demographics
NPI:1447728514
Name:HOME HEALTH PARTNER SERVICES, LLC
Entity type:Organization
Organization Name:HOME HEALTH PARTNER SERVICES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:B
Authorized Official - Last Name:HYMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-335-0522
Mailing Address - Street 1:1751 W ALEXANDER ST STE 105
Mailing Address - Street 2:
Mailing Address - City:WEST VALLEY CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84119-7610
Mailing Address - Country:US
Mailing Address - Phone:801-335-0522
Mailing Address - Fax:801-335-0523
Practice Address - Street 1:1751 W ALEXANDER ST STE 105
Practice Address - Street 2:
Practice Address - City:WEST VALLEY CITY
Practice Address - State:UT
Practice Address - Zip Code:84119-7610
Practice Address - Country:US
Practice Address - Phone:801-335-0522
Practice Address - Fax:801-335-0523
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HOME HEALTH PARTNER SERVICES, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-11-07
Last Update Date:2021-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT=========OtherIRS