NPIMap

Organization Active NPI

Exemplar Healthcare, Inc.

  • Home Health Agency
  • Murray, UT
National Provider Identifier
1164901484
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
EXEMPLAR HEALTHCARE, INC.
Practice address
308 E 4500 S Ste 100
Murray, UT 84107-4057
Phone
(801) 716-7800
Fax
(866) 676-6599
NPI assigned
Aug 8, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Authorized official

Name
Amber L Tueller
Title
Secretary
Phone
(208) 207-2726

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

308 E 4500 S Ste 100
Murray, UT 84107-4057

Mailing address

308 E 4500 S Ste 100
Murray, UT 84107-4057
Phone (801) 433-0344

Other practice location 1

1924 N 1120 W
Provo, UT 84604
Phone (801) 655-4272

Other practice location 2

894 E 100 N
Price, UT 84501
Phone (435) 637-7225

Other names 1

  • Symbii Home Health South Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190207002479 UT Part A Provider - Home Health Agency 2163769472 Practice locations: Murray, UT; Provo, UT; Price, UT

Home health agency certification: CCN 467342

Legal name
EXEMPLAR HEALTHCARE, INC.
Doing business as
SYMBII HOME HEALTH SOUTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 22, 2014
Last certification
Sep 30, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jul 14, 2017 in NV
Enrollment address
308 E 4500 S
Ste 100
Murray, UT 84107-4057

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
Symbii Home Health SouthCCN 467342
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
Jul 22, 2014
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Exemplar Healthcare Inc2 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.

Locations

894 E 100 N
Price, UT 84501
Phone (435) 637-7225

1385 W 2200 S
Ste 202
West Valley City, UT 84119
Phone (801) 682-4461

Networks

  • UT PPOPlans: DEVOTED CHOICE GIVEBACK 002 UT (PPO) (H4473-002-000, H4473); DEVOTED CHOICE 001 UT (PPO) (H4473-001-000, H4473)

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Cornerstone Healthcare Inc Organization, Eagle, ID Corporation, For-profit 5% Or Greater Direct Ownership Interest Dec 1, 2018 100%
Brent Mills Individual Corporate OfficerTreasurer Mar 25, 2026
Brent Guerisoli Individual Corporate DirectorDirector& Sole Board Member Jul 3, 2023
The Pennant Group Inc Organization, Eagle, ID Corporation, For-profit 5% Or Greater Indirect Ownership Interest Oct 1, 2019 100%
Tella Silver Individual W-2 Managing EmployeeAd; May 15, 2024
John J Gochnour Individual Corporate OfficerPresident Jun 6, 2024
Amber Tueller Individual Corporate OfficerSecretary Jun 6, 2024

Facilities with the same owner 141

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

View all 141

Change-of-ownership history 1

DateEventCounterparty
Dec 1, 2018 Change of OwnershipThis provider was the buyer Cornerstone Home HealthCCN 467342, UT, NPI 1194155010

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Affiliated clinicians 69

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

View all 69

NPI Registry JSON

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

{
    "created_epoch": "1533686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752624000000",
    "number": "1164901484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 E 4500 S STE 100",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841074057",
            "telephone_number": "801-433-0344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 E 4500 S STE 100",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841074057",
            "telephone_number": "801-716-7800",
            "fax_number": "866-676-6599"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1924 N 1120 W",
            "address_purpose": "LOCATION",
            "city": "Provo",
            "state": "UT",
            "postal_code": "84604",
            "country_code": "US",
            "telephone_number": "801-655-4272",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "894 E 100 N",
            "address_purpose": "LOCATION",
            "city": "Price",
            "state": "UT",
            "postal_code": "84501",
            "country_code": "US",
            "telephone_number": "435-637-7225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EXEMPLAR HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-08",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A",
        "authorized_official_last_name": "TUELLER",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "208-207-2726"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Symbii Home Health South",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Murray, UT

Sources for this page

Verify at the official NPI Registry.