OrganizationActive
At Home Care and Health Services LLC
NPI 1609315431 · PACE Provider Organization · Ivins, UT
Provider details
- NPI number
- 1609315431
- Entity type
- Organization
- Primary specialty
- PACE Provider OrganizationAgencies
- Organization subpart
- No
- Authorized official
- Ashlyn Teed, Administrator(435) 256-0867
- License
- 2016-PCA-UT000780 (UT)
Specialties & taxonomies
Agencies
Transportation Services
Respite Care Facility
Practice location
639 S 315 E
Ivins, UT 84738-5054
Phone: (435) 256-0867
Fax: (435) 652-3675
Approximate (ZIP-level) locationGet directions
Mailing address
639 S 315 E
Ivins, UT 84738-5054
Registry dates
- Enumerated
- 2017-02-13
- Last updated
- 2017-05-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.