NPIMap

Organization Active NPI

Hospice Alliance of Southern Utah, Inc.

  • Community Based Hospice Care Agency
  • St George, UT
National Provider Identifier
1134550858
Registry record updated Dec 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
79732 Issued in UT
Legal business name
HOSPICE ALLIANCE OF SOUTHERN UTAH, INC.
Practice address
491 E Riverside Dr Ste 3B
St George, UT 84790-7057
Phone
(435) 656-2889
Fax
(435) 656-2877
NPI assigned
Dec 5, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2013

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

Authorized official

Name
Justin L Larsen
Title
Ceo/Owner
Phone
(435) 753-3133

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 79732 UT Primary

Addresses

Primary practice location

491 E Riverside Dr Ste 3B
St George, UT 84790-7057

Mailing address

491 East Riverdale Dr
#3B
St.George, UT 84790-7057
Phone (435) 656-2889

National Provider Directory

National Provider Directory
Tax ID family
Alliance Home Health and Hospice2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1386201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386201600000",
    "number": "1134550858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "491 EAST RIVERDALE DR",
            "address_2": "#3B",
            "city": "ST.GEORGE",
            "state": "UT",
            "postal_code": "847907057",
            "telephone_number": "435-656-2889",
            "fax_number": "435-656-2877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "491 E RIVERSIDE DR STE 3B",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847907057",
            "telephone_number": "435-656-2889",
            "fax_number": "435-656-2877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE ALLIANCE OF SOUTHERN UTAH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-05",
        "last_updated": "2013-12-05",
        "status": "A",
        "authorized_official_last_name": "LARSEN",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "435-753-3133"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "UT",
            "license": "79732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2013; 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.