Active NPI
Elevation Hospice of Utah, LLC
- Community Based Hospice Care Agency
- Draper, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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, LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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, LLC
- Ownership
- For-Profit
- Certified
- Oct 13, 2014
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 46D2081699 | Elevation Hospice of Utah, LLC | Certificate of waiver | Jul 28, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Rochelle Alonzo | W-2 Managing Employee | Mar 1, 2024 | |
| Nathan a Phelps | Contracted Managing Employee | Dec 1, 2023 | |
| David C Gasmire | Corporate Director | Jun 5, 2025 | |
| Cypress Purchaser, LLC | 5% Or Greater Indirect Ownership Interest | Jun 5, 2025 | 100% |
| Martis Partners IV Three Oaks Co-Invest, LP | 5% Or Greater Indirect Ownership Interest | Jun 5, 2025 | 11.8% |
| Cypress Midco, Inc. | 5% Or Greater Indirect Ownership Interest | Jun 5, 2025 | 100% |
| Andrew R Calkins | Corporate Director | Jun 5, 2025 | |
| Three Oaks Hospice, Inc. | 5% Or Greater Indirect Ownership Interest | Jun 5, 2025 | 100% |
| Operational/Managerial Control | Jun 5, 2025 | 100% | |
| Cypress Parent Holdings, LLC | 5% Or Greater Indirect Ownership Interest | Jun 5, 2025 | 100% |
| Owen Davis | Corporate Director | Jun 5, 2025 | |
| Martis Partners IV Cypress Aggregator LP | 5% Or Greater Indirect Ownership Interest | Jun 5, 2025 | 85.7% |
| Phillip Campbell | Corporate Director | Jun 5, 2025 | |
| Martis Partners IV, LP | 5% Or Greater Indirect Ownership Interest | Jun 5, 2025 | 8.5% |
| Lisa M Pekar | W-2 Managing Employee | Jun 5, 2025 | |
| Sage Hospice Holdings, L.L.C. | 5% Or Greater Direct Ownership Interest | Dec 17, 2018 | 100% |
| Andrea F Bohannon | Corporate Officer | Jun 5, 2025 | |
| Corporate Director | Jun 5, 2025 | ||
| Ross J Taylor | Corporate Officer | Jun 5, 2025 | |
| Sage Hospice Intermediate Holdings, Inc. | 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.
-
- Community Based Hospice Care Agency
- Scottsdale, AZ
- NPI 1881993970
Cypress Midco, Inc., Cypress Parent Holdings, LLC, Cypress Purchaser, LLC, Martis Partners IV Cypress Aggregator LP, Martis Partners IV Three Oaks Co-Invest, LP, Martis Partners IV, LP, Sage Hospice Holdings, L.L.C., Sage Hospice Intermediate Holdi
-
- Community Based Hospice Care Agency
- Hurst, TX
- NPI 1659741411
Cypress Midco, Inc., Cypress Parent Holdings, LLC, Cypress Purchaser, LLC, Martis Partners IV Cypress Aggregator LP, Martis Partners IV, LP, Three Oaks Hospice, Inc.
-
- Community Based Hospice Care Agency
- Houston, TX
- NPI 1891947040
Cypress Midco, Inc., Cypress Parent Holdings, LLC, Cypress Purchaser, LLC, Martis Partners IV Cypress Aggregator LP, Martis Partners IV, LP, Three Oaks Hospice, Inc.
-
- Community Based Hospice Care Agency
- Villa Rica, GA
- NPI 1275895419
Cypress Midco, Inc., Cypress Parent Holdings, LLC, Cypress Purchaser, LLC, Martis Partners IV Cypress Aggregator LP, Martis Partners IV Three Oaks Co-Invest, LP, Martis Partners IV, LP, Sage Hospice Holdings, L.L.C., Sage Hospice Intermediate Holdi
-
- Community Based Hospice Care Agency
- Woodstock, GA
- NPI 1043708803
Cypress Midco, Inc., Cypress Parent Holdings, LLC, Cypress Purchaser, LLC, Martis Partners IV Cypress Aggregator LP, Martis Partners IV Three Oaks Co-Invest, LP, Martis Partners IV, LP, Sage Hospice Holdings, L.L.C., Sage Hospice Intermediate Holdi
-
- Community Based Hospice Care Agency
- Watkinsville, GA
- NPI 1952075582
Cypress Midco, Inc., Cypress Parent Holdings, LLC, Cypress Purchaser, LLC, Martis Partners IV Cypress Aggregator LP, Martis Partners IV Three Oaks Co-Invest, LP, Martis Partners IV, LP, Sage Hospice Holdings, L.L.C., Sage Hospice Intermediate Holdi
-
- Community Based Hospice Care Agency
- Lawrenceville, GA
- NPI 1932538964
Cypress Midco, Inc., Cypress Parent Holdings, LLC, Cypress Purchaser, LLC, Martis Partners IV Cypress Aggregator LP, Martis Partners IV Three Oaks Co-Invest, LP, Martis Partners IV, LP, Sage Hospice Holdings, L.L.C., Sage Hospice Intermediate Holdi
-
- Community Based Hospice Care Agency
- The Woodlands, TX
- NPI 1669890810
Cypress Midco, Inc., Cypress Parent Holdings, LLC, Cypress Purchaser, LLC, Martis Partners IV Cypress Aggregator LP, Martis Partners IV, LP, Three Oaks Hospice, Inc.
-
- Community Based Hospice Care Agency
- Arvada, CO
- NPI 1710374368
Cypress Midco, Inc., Cypress Parent Holdings, LLC, Cypress Purchaser, LLC, Martis Partners IV Cypress Aggregator LP, Martis Partners IV Three Oaks Co-Invest, LP, Martis Partners IV, LP, Sage Hospice Holdings, L.L.C., Sage Hospice Intermediate Holdi
-
- Community Based Hospice Care Agency
- Beaumont, TX
- NPI 1861813172
Cypress Midco, Inc., Cypress Parent Holdings, LLC, Cypress Purchaser, LLC, Martis Partners IV Cypress Aggregator LP, Martis Partners IV, LP, Three Oaks Hospice, Inc.
-
- Community Based Hospice Care Agency
- Longview, TX
- NPI 1780101642
Cypress Midco, Inc., Cypress Parent Holdings, LLC, Cypress Purchaser, LLC, Martis Partners IV Cypress Aggregator LP, Martis Partners IV, LP, Three Oaks Hospice, Inc.
-
- Community Based Hospice Care Agency
- El Paso, TX
- NPI 1457806242
Cypress Midco, Inc., Cypress Parent Holdings, LLC, Cypress Purchaser, LLC, Martis Partners IV Cypress Aggregator LP, Martis Partners IV, LP, Three Oaks Hospice, Inc.
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- West Jordan, UT
- NPI 1841888211
-
- Acute Care Nurse Practitioner
- Draper, UT
- NPI 1861126575
Hospice and Palliative Medicine
-
- Family Nurse Practitioner
- Lehi, UT
- NPI 1154088441
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.