Organization Active NPI

Elevation Hospice of Utah, LLC

  • Community Based Hospice Care Agency
  • Draper, UT
National Provider Identifier
1154744548
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
ELEVATION HOSPICE OF UTAH, LLC
Practice address
11693 S 700 E Ste 200
Draper, UT 84020-7573
Phone
(801) 610-1868
Fax
(801) 642-2486
NPI assigned
Jan 21, 2014
Organization subpart
Yes
Parent organization
SAGE HOSPICE HOLDINGS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 13, 2026

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

Authorized official

Name
Andrea Bohannon
Title
President & Ceo
Phone
(214) 682-9951

Specialties & licenses 1

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

Addresses

Primary practice location

11693 S 700 E Ste 200
Draper, UT 84020-7573

Mailing address

717 N Harwood St Ste 550
Dallas, TX 75201-6540
Phone (214) 628-9945

Other practice location 1

3677 N Highway 126 Ste 5A-B
Farr West, UT 84404-9493
Phone (801) 610-1868

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140728000469 UT Part A Provider - Hospice 1456577584 Practice locations: Draper, UT; Farr West, UT

Hospice certification: CCN 461609

Legal name
ELEVATION HOSPICE OF UTAH LLC
Doing business as
ELEVATION HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Oct 13, 2014
Last certification
Oct 14, 2020
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
Dec 20, 2013 in UT
Enrollment address
11693 S 700 E
Ste 200
Draper, UT 84020-7573

Care Compare: Hospice

Medicare Care Compare
Listed as
Elevation Hospice of Utah, LLCCCN 461609
Ownership
For-Profit
Certified
Oct 13, 2014
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
46D2081699Elevation Hospice of Utah, LLC11693 South 700 East #200, Draper, UT 84020Certificate of waiverJul 28, 2028

National Provider Directory

National Provider Directory

Locations

21 E 100 N
Ste 105
American Fork, UT 84003

3677 N Highway 126
Ste 5AB
Farr West, UT 84404
Phone (801) 610-1868

Ownership & related parties

All disclosed owners & managing parties 18

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Rochelle Alonzo Individual W-2 Managing EmployeeAd; Mar 1, 2024
Nathan a Phelps Individual Contracted Managing EmployeeMD; Dec 1, 2023
David C Gasmire Individual Corporate DirectorBoard of Directors, Member Jun 5, 2025
Cypress Purchaser, LLC Organization, Washington, DC LLC 5% Or Greater Indirect Ownership Interest Jun 5, 2025 100%
Martis Partners IV Three Oaks Co-Invest, LP Organization, Washington, DC Private equity company 5% Or Greater Indirect Ownership Interest Jun 5, 2025 11.8%
Cypress Midco, Inc. Organization, Coconut Grove, FL Corporation, For-profit 5% Or Greater Indirect Ownership Interest Jun 5, 2025 100%
Andrew R Calkins Individual Corporate DirectorBoard of Directors, Member Jun 5, 2025
Three Oaks Hospice, Inc. Organization, Dallas, TX Corporation, For-profit 5% Or Greater Indirect Ownership Interest Jun 5, 2025 100%
Operational/Managerial Control Jun 5, 2025 100%
Cypress Parent Holdings, LLC Organization, Washington, DC LLC, Holding company 5% Or Greater Indirect Ownership Interest Jun 5, 2025 100%
Owen Davis Individual Corporate DirectorBoard of Directors, Chairman Jun 5, 2025
Martis Partners IV Cypress Aggregator LP Organization, Washington, DC 5% Or Greater Indirect Ownership Interest Jun 5, 2025 85.7%
Phillip Campbell Individual Corporate DirectorBoard of Directors, Member Jun 5, 2025
Martis Partners IV, LP Organization, Washington, DC 5% Or Greater Indirect Ownership Interest Jun 5, 2025 8.5%
Lisa M Pekar Individual W-2 Managing EmployeeDirector of Licensure Jun 5, 2025
Sage Hospice Holdings, L.L.C. Organization, Boston, MA LLC 5% Or Greater Direct Ownership Interest Dec 17, 2018 100%
Andrea F Bohannon Individual Corporate OfficerPresident, Ceo, Asst Secretary Jun 5, 2025
Corporate DirectorBoard of Directors, Member Jun 5, 2025
Ross J Taylor Individual Corporate OfficerSecretary Jun 5, 2025
Sage Hospice Intermediate Holdings, Inc. Organization, Boston, MA Corporation 5% Or Greater Indirect Ownership Interest Dec 17, 2018 100%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 22

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 22

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1390262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770940800000",
    "number": "1154744548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 N HARWOOD ST STE 550",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752016540",
            "telephone_number": "214-628-9945",
            "fax_number": "214-389-0976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11693 S 700 E STE 200",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840207573",
            "telephone_number": "801-610-1868",
            "fax_number": "801-642-2486"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3677 N Highway 126 Ste 5A-B",
            "address_purpose": "LOCATION",
            "city": "Farr West",
            "state": "UT",
            "postal_code": "844049493",
            "country_code": "US",
            "telephone_number": "801-610-1868",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ELEVATION HOSPICE OF UTAH, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAGE HOSPICE HOLDINGS, LLC",
        "enumeration_date": "2014-01-21",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A",
        "authorized_official_last_name": "BOHANNON",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "214-682-9951"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "UT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Draper, UT

Sources for this page

Verify at the official NPI Registry.