State CMS Certification Number (CCN)* Provider Name UT 467001 COMMUNITY NURSING SERVICES WEST VALLEY CITY UT 467004 INTERMOUNTAIN HOMECARE OGDEN OGDEN UT 467012 IRON COUNTY HOME HEALTH AGENCY CEDAR CITY UT 467015 GENTIVA HEALTH SERVICES ST GEORGE UT 467016 INTERMOUNTAIN HOMECARE HOME HEALTH MT PLEASANT UT 467024 INTERMOUNTAIN HOMECARE HOME HEALTH LOGAN City MT PLEASANT LOGAN UT 467025 APPLEGATE HOMECARE OGDEN UT 467030 INTERMOUNTAIN HOMECARE HOME HEALTH SALT LAKE SOUTH JORDAN UT 467033 INTERMOUNTAIN HOMECARE HOME HEALTH ST GEORGE UT 467034 CENTRAL VALLEY HOME HEALTH NEPHI UT 467035 GUNNISON VALLEY HOSPITAL HOME HEALTH GUNNISON UT 467038 BEAVER VALLEY HOME HEALTH BEAVER UT 467039 UINTAH BASIN HOME CARE SERVICES ROOSEVELT UT 467051 AT HOME NURSING CARE, LLC MURRAY UT 467055 SOUTHERN UTAH HOME CARE ST GEORGE UT 467061 ROCKY MOUNTAIN HOME CARE LAYTON UT 467071 FIRST CHOICE HOME HEALTH OREM Page 1 of 6 09/17/2015
UT 467075 HORIZON HOME HEALTH SG ST GEORGE UT 467077 HEALTHSOUTH HOME CARE SANDY UT 467081 SOUTH DAVIS HOME HEALTH BOUNTIFUL UT 467095 HORIZON HOME HEALTH - SALT LAKE SALT LAKE CITY UT 467100 ENCOMPASS HOME HEALTH & HOSPICE OF UTAH MURRAY UT 467104 HARMONY HOME HEALTH SERVICES, LLC MURRAY UT 467106 HEALTH WATCH PROVO, INC OREM UT 467108 SUPERIOR HOME CARE MURRAY UT 467110 SPECIALTY NURSING SERVICES, INC HUNTSVILLE UT 467112 AT HOME HEALTH CARE SALINA UT 467115 LIFE CARE AT HOME SALT LAKE CITY UT 467117 CARESOURCE HOME HEALTH SALT LAKE CITY UT 467121 MILLCREEK HOME HEALTH SALT LAKE CITY UT 467200 A-PLUS HOME CARE OREM UT 467201 KINDRED AT HOME - HOME HEALTH - MURRAY MURRAY UT 467206 CAREGIVER SUPPORT NETWORK, INC MURRAY UT 467207 TOTAL KNEE AND HIP REHABILITATION SANDY UT 467208 GOOD SHEPHERD HOME CARE SALT LAKE CITY UT 467210 COZY HOME HEALTH CARE SOUTH JORDAN UT 467211 SUNRISE HOME HEALTH CARE PROVO UT 467212 MAXIM HEALTHCARE SERVICES, INC SALT LAKE CITY UT 467213 VALEO HOME HEALTHCARE SERVICES, LLC SALT LAKE CITY Page 2 of 6 09/17/2015
UT 467214 ONECARE HOME HEALTH DRAPER UT 467217 HEARTS FOR HOME HEALTH AMERICAN FORK UT 467219 ACCESS HOME CARE, LLC LOGAN UT 467220 ASPEN RIDGE HOME HEALTH MURRAY UT 467221 ENVISION HOME HEALTH OREM UT 467223 SUMMIT HOME HEALTH MURRAY UT 467224 PINNACLE HOME HEALTH HOLLADAY UT 467225 UTAH HOME HEALTH PROVO UT 467226 CANYON HOME CARE SALT LAKE CITY UT 467227 PREMIER HOME HEALTH UTAH TAYLORSVILLE UT 467228 INTEGRITY HOME HEALTH BRIGHAM CITY UT 467229 HEARTS FOR HOME HEALTH OGDEN UT 467230 IVY LANE PEDIATRICS, INC OGDEN UT 467231 SYMBII HOME HEALTH SALT LAKE CITY UT 467232 LEGACY HEALTHCARE, INC LAYTON UT 467233 BRIO HOME HEALTH DRAPER UT 467234 PRIMROSE HOME CARE PROVIDENCE UT 467235 SUMMIT HOME HEALTH - LAYTON LAYTON UT 467236 DIXIE HOME REHAB ST GEORGE UT 467237 GOOD SHEPHERD HOME CARE - VERNAL VERNAL UT 467238 MIDAS CREEK HOME HEALTH SOUTH JORDAN Page 3 of 6 09/17/2015
UT 467239 DIGNITY HOME HEALTH OF UTAH AMERICAN FORK UT 467241 BRISTOL HOME CARE - UTAH, LLC SALT LAKE CITY UT 467242 A STEP FORWARD MURRAY UT 467243 ZIONS WAY HOME HEALTH ST GEORGE UT 467245 HEARTWOOD HOME HEALTH WEST JORDAN UT 467246 BURCH CREEK HOMECARE OGDEN UT 467248 HORIZON HOME HEALTH OREM UT 467250 AFI ADVANCED CARE HOME HEALTH, LLC BRIGHAM UT 467251 ALPHA HOME HEALTH CARE LLC OREM UT 467252 RELIANCE HEALTH CARE SALT LAKE CITY UT 467253 ACCESS HOME CARE - SALT LAKE CITY DRAPER UT 467254 SUNSHINE TERRACE HOME HEALTH LOGAN UT 467257 TENDER CARE HOME HEALTH BOUNTIFUL UT 467313 MOUNTAIN LAND REHABILITATION HOME HEALTH SALT LAKE CITY UT 467314 ASPIRE HOME HEALTH TAYLORSVILLE UT 467316 CASCADE SPRINGS HOME HEALTHCARE CLEARFIELD UT 467317 ASHBY HOME HEALTH DRAPER UT 467318 PINE MOUNTAIN HOME HEALTH HOLLADAY UT 467320 LIFETOUCH HOME HEALTH BOUNTIFUL UT 467321 MOUNTAIN REGION HOMECARE BOUNTIFUL UT 467322 RENEW HOME HEALTH INC SALT LAKE CITY Page 4 of 6 09/17/2015
UT 467323 ICARE HOME HEALTH PROVO UT 467324 ALPHA HOME HEALTH CARE LLC - SOUTHERN ST GEORGE UTAH UT 467326 MAPLE CREEK HOME HEALTH SPANISH FORK UT 467327 ALLIANCE HOME HEALTH OF SOUTHERN UTAH ST GEORGE UT 467329 QUALITY SOLACE SERVICES HOME HEALTH SALT LAKE CITY UT 467330 ARCADIA HOME HEALTH SERVICES, LLC SALT LAKE CITY UT 467331 ABSOLUTE COMPASSION HOME HEALTH PAYSON UT 467332 PEAK SPECIALTY GROUP SALT LAKE CITY UT 467333 ABUNDANT LIFE HOME HEALTH SOUTH OGDEN UT 467334 BRIGHTON HOME HEALTH MURRAY UT 467335 INSPIRATION HOME HEALTH LLC MURRAY UT 467336 SALUS HOME HEALTH SOUTH JORDAN UT 467337 INDEPENDENCE HOME HEALTH BOUNTIFUL UT 467338 ALI'S ANGELS HOME CARE INC PERRY UT 467339 AGA HOME HEALTH MURRAY UT 467340 CANYON HOME CARE OF SOUTHERN UTAH ST GEORGE UT 467341 5 STAR HOME HEALTH LLC OREM UT 467342 CORNERSTONE HOME HEALTH MIDVALE UT 467343 SOLSTICE HOME HEALTH, LLC SALT LAKE CITY UT 467344 EVEREST HOME HEALTH, LLC BOUNTIFUL Page 5 of 6 09/17/2015
UT 467345 MOUNTAIN VIEW HOME HEALTH WEST JORDAN UT 467346 LIGHTEN HOME HEALTH SANDY Page 6 of 6 09/17/2015