FAMMULL, INC. (NPI# 1689988933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689988933 |
| Entity Type | Organization |
| Organization Name | FAMMULL, INC. |
| Other Organization Name | BRIGHTSTAR MOUNTAINSIDE |
| Practice Address |
5330 S 900 E Suite 260 Salt Lake City UT 84117-7261 |
| Practice Telephone | 8012901290 |
| Practice Fax Number | 8012901291 |
| Mailing Telephone | 8012901290 |
| Mailing Fax Number | 8012901291 |
| Enumeration Date | 2010-07-28 |
| Last Update Date | 2010-07-28 |
| Authorized Official Name | MS. TAMRA LEE OLSEN (DIRECTOR OF NURSING) |
| Authorized Official Telephone | 8012901290 |
| Authorized Official Credential | R.N. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 2010-HHA-96627 | UT | Agencies |
| Other Name | Type Code |
|---|---|
| BrightStar Mountainside | Doing Business As Name - Organization |
| Street Address |
5330 S 900 E SUITE 260 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84117-7261 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063052256 | Abundant Dental Care, P.C. | Dentist | 1548 E 4500 S #104, Holladay, UT 84117 | 2020-01-15 |
| 1578127221 | Signature Utah Dental Partners PC | Clinic/Center | 2240 E Murray Holladay Rd, Holladay, UT 84117 | 2019-04-29 |
| 1700392974 | Marette Monson, LLC | Community/Behavioral Health | 2180 East 4500 South, Suite 105, Holladay City, UT 84117 | 2017-12-23 |
| 1942714639 | Harmon City Inc | Pharmacy | 4675 South Holladay Blvd, Holladay, UT 84117 | 2017-11-17 |
| 1881119444 | Brianna Stewart | Physical Medicine & Rehabilitation | 5151 South 900 East, Suite 100, Salt Lake City, UT 84117 | 2017-08-04 |
| 1861842874 | Whitney Aste | Dentist | 1548 E 4500 S Ste 104, Salt Lake City, UT 84117 | 2016-06-21 |
| 1922403765 | Tri-peak, Pllc | Psychologist | 4535 S 2300 E, Suite B, Salt Lake City, UT 84117 | 2014-10-22 |
| 1356689566 | Mckenzie Vierig | Marriage & Family Therapist | 4568 S Highland Dr Ste 380, Millcreek, UT 84117 | 2013-01-22 |
| 1821348640 | Fabiola Marquez Jamieson | Social Worker | 4500 S 2180 E, Suite 165, Holladay, UT 84117 | 2012-09-19 |
| 1073882882 | Amy Rose White | Social Worker | 4500 South 2180 East, Suite 165, Holladay, UT 84117 | 2011-12-22 |
| Find all providers in zip 84117 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| 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. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518422 | Ascent Physical Therapy and Wellness | Home Health | 1549 W Haslam Cir, Salt Lake City, UT 84116-1633 | 2020-11-03 |
| 1356808653 | Nphalanx LLC | Home Health | 404 E 4500 S Ste B22, Salt Lake City, UT 84107-2776 | 2019-02-23 |
| 1750824553 | Emily R. Carlson | Home Health | 310 E Downington Ave, #3, Salt Lake City, UT 84115-2208 | 2016-11-28 |
| 1801286976 | Robert B Canaan | Home Health | 1900 S Douglas St Apt 2, Salt Lake City, UT 84105-3625 | 2015-01-28 |
| 1881083590 | Grandee Village Home Health Care Services LLC | Home Health | 3712 S Golden Grain Cir, Salt Lake City, UT 84120-3393 | 2015-01-19 |
| 1699197830 | Gsded, LLC | Home Health | 2020 S 1300 E, Suite C, Salt Lake City, UT 84105-3654 | 2014-01-07 |
| 1477980803 | Yswecan, LLC | Home Health | 5320 S 900 E Ste 280, Salt Lake City, UT 84117-7244 | 2013-09-30 |
| 1851686166 | Peak Specialty Group | Home Health | 1220 E 3900 S Ste 4d, Salt Lake City, UT 84124-1383 | 2011-06-14 |
| 1750675633 | Youthtrack, Inc. | Home Health | 261 E 4500 S, Salt Lake City, UT 84107-3865 | 2011-06-08 |
| 1114218781 | Valeo Home Healthcare Services | Home Health | 6076 South 900 East, Suite 150, Salt Lake City, UT 84121 | 2011-04-29 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84117 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.