Organization Active NPI

Hospice Alliance, Inc.

  • Community Based Hospice Care Agency
  • Salt Lake City, UT
National Provider Identifier
1366558884
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
HOSPICE ALLIANCE, INC.
Practice address
1255 E 3900 S
Suite 105
Salt Lake City, UT 84124-1334
Phone
(801) 261-8437
Fax
(801) 261-5463
NPI assigned
Aug 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Justin Larsen
Title
Owner/Ceo
Phone
(435) 753-0707

Specialties & licenses 1

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

Addresses

Primary practice location

1255 E 3900 S
Suite 105
Salt Lake City, UT 84124-1334

Mailing address

965 S 100 W
Suite 204
Logan, UT 84321-6062
Phone (435) 753-0707

National Provider Directory

National Provider Directory

Locations

345 N Main St
Ste B
Brigham City, UT 84302
Phone (435) 723-4404

495 E 770 N
Orem, UT 84097
Phone (801) 224-2177

1245 E Brickyard Rd
#350
Salt Lake City, UT 84106
Phone (801) 463-7200

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366558884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 S 100 W",
            "address_2": "SUITE 204",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843216062",
            "telephone_number": "435-753-0707",
            "fax_number": "435-755-8505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 E 3900 S",
            "address_2": "SUITE 105",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241334",
            "telephone_number": "801-261-8437",
            "fax_number": "801-261-5463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE ALLIANCE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LARSEN",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "435-753-0707"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "UT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.