Organization Active NPI

Hospice Alliance of Utah, LLC

  • Community Based Hospice Care Agency
  • Logan, UT
National Provider Identifier
1124133855
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
HOSPICE ALLIANCE OF UTAH, LLC
Practice address
965 S 100 W
Suite 204
Logan, UT 84321-6062
Phone
(435) 753-0707
Fax
(435) 755-8505
NPI assigned
Aug 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Justin Larsen
Title
Owner/Ceo
Phone
(435) 753-0707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X UT Primary

Addresses

Primary practice location

965 S 100 W
Suite 204
Logan, UT 84321-6062

Mailing address

965 S 100 W
Suite 204
Logan, UT 84321-6062
Phone (435) 753-0707

National Provider Directory

National Provider Directory

Locations

1186 E 4600 S
Ste 430
Ogden, UT 84403
Phone (801) 476-4410

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124133855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 S 100 W",
            "address_2": "SUITE 204",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843216062",
            "telephone_number": "435-753-0707",
            "fax_number": "435-755-8505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "965 S 100 W",
            "address_2": "SUITE 204",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843216062",
            "telephone_number": "435-753-0707",
            "fax_number": "435-755-8505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE ALLIANCE OF UTAH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LARSEN",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "435-753-0707",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "UT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Logan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.