Angels Crossing Home Hospice PLLC

Primary specialty

Inpatient HospiceTaxonomy code 315D00000X

Legal business name

ANGELS CROSSING HOME HOSPICE PLLC

Practice address

2480 S Main St
Suite 200
Salt Lake City, UT 84115-3058

Phone

(801) 428-1060

Fax

(801) 855-5908

NPI assigned

Aug 27, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Maile Sue Tavake, REGISTERED NURSE

Title

Member

Phone

(801) 428-1060

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1219795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525651200000",
    "number": "1023265451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2480 S MAIN ST",
            "address_2": "SUITE 200",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841153058",
            "telephone_number": "801-428-1060",
            "fax_number": "801-855-5908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2480 S MAIN ST",
            "address_2": "SUITE 200",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841153058",
            "telephone_number": "801-428-1060",
            "fax_number": "801-855-5908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELS CROSSING HOME HOSPICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-27",
        "last_updated": "2018-05-07",
        "status": "A",
        "authorized_official_last_name": "TAVAKE",
        "authorized_official_first_name": "MAILE",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "801-428-1060",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "315D00000X",
            "taxonomy_group": "",
            "desc": "Hospice, Inpatient",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon D. Ang, DO
• Angela Jette Swanson, PH.D., LLC
• Angela Keen MD P.L.L.C.
• Roberto Angeles
• Charleen Angell, APRN-P
• Timothy B Anger, D.M.D.
• Steven R. Angerbauer, MD
• Ashley Padau Angilau
• Telenia Angilau
• Joseph Anglesey

• Inpatient Hospice in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Inpatient Hospice in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.