Centerfield Healthcare

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

CENTERFIELD HEALTHCARE

Practice address

736 S 900 E Ste 202
St George, UT 84790-7003

Phone

(435) 862-5940

NPI assigned

May 6, 2019

Organization subpart

No

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

Authorized official

Name

Clint John Hoopes

Title

Administrator

Phone

(435) 359-4599

Specialties & licenses 2

Addresses

Other names 1

• Summit Hospice St. George Doing business as

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Hospice certification: CCN 461627

Legal name

CENTERFIELD HEALTHCARE

Doing business as

SUMMIT HOSPICE ST GEORGE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Aug 20, 2005

Last certification

May 8, 2020

Ownership / control type

Proprietary - Corporation

Organization structure

LLCProprietary

Incorporated

in UT

Enrollment address

736 S 900 E
Ste 202
Saint George, UT 84790-7003

Other NPIs with the same Medicare PAC ID 1

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

• Centerfield Healthcare

  • Home Health Agency
  • St George, UT
  • NPI 1689239873

  9335519628

  Same PAC ID

Listed as

Summit Hospice St. GeorgeCCN 461627

Ownership

For-Profit

Certified

Aug 20, 2005

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Tax ID family

Centerfield Healthcare2 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.

• Centerfield Healthcare

  • Home Health Agency
  • St George, UT
  • NPI 1689239873
  NPD tax ID

All disclosed owners & managing parties 2

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

Facilities with the same owner 1

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

• Centerfield Healthcare

  • Home Health Agency
  • St George, UT
  • NPI 1689239873

  Hoopes Ventures LLC

  CMS ownership

Change-of-ownership history 2

Affiliated clinicians 2

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

• Brooks Beal, D.O.

  • Family Medicine Physician
  • St George, UT
  • NPI 1225412885

  Hospice

  Care Compare affiliation
• Janie Earle, DNP

  • Gerontology Nurse Practitioner
  • Washington, UT
  • NPI 1720752389

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1557100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717632000000",
    "number": "1194380113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "354 W CENTERFIELD CIR",
            "city": "WASHINGTON",
            "state": "UT",
            "postal_code": "847808483",
            "telephone_number": "435-359-4599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 S 900 E STE 202",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847907003",
            "telephone_number": "435-862-5940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTERFIELD HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-06",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A",
        "authorized_official_last_name": "HOOPES",
        "authorized_official_first_name": "CLINT",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "435-359-4599"
    },
    "taxonomies": [
        {
            "code": "163WH1000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Hospice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summit Hospice St. George",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Summit Hospice St. George",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kindra Backman Celani, DNP, FNP-C
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• Lisa Certonio, NNP-BC

• All providers in St George, UT
• Community Based Hospice Care Agency in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; 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.

Verify at the official NPI Registry.