Home Care Community Services LLC
In Home Supportive Care in Salt Lake City, UT. Organization (NPI-2).
NPI number1972492445
StatusActive
Last updated in NPPESJun 30, 2025
Details
- NPI
- 1972492445
- Entity type
- Organization (NPI-2)
- Legal business name
- Home Care Community Services LLC
- Organization subpart
- No
- Enumeration date
- Jun 30, 2025
- Certification date
- Jun 30, 2025
- Last updated
- Jun 30, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
Other names
- Home Care Community Services LLC (Other Name)
Practice location
904 W Millrace Park LnSalt Lake City, UT 84123-4543
Phone 207-513-0481
Mailing address
904 W Millrace Park LnSalt Lake City, UT 84123-4543
Phone 207-513-0481
Authorized official
Khalid Hamad Hilal Alhachami
Owner/ Administrator
2075130481
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