Organization Active NPI

Hospice Homecare LLC

  • Community Based Hospice Care Agency
  • American Fork, UT
National Provider Identifier
1376895367
Registry record updated Oct 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
HOSPICE HOMECARE LLC
Practice address
789 Bamberger Dr
Suite B
American Fork, UT 84003-2181
Phone
(801) 763-1009
Fax
(801) 763-1051
NPI assigned
Oct 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2012

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

Authorized official

Name
Mr. Aaron Jenkins
Title
Director of Operations
Phone
(801) 400-3073

Specialties & licenses 1

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

Addresses

Primary practice location

789 Bamberger Dr
Suite B
American Fork, UT 84003-2181

Mailing address

789 Bamberger Dr
Suite B
American Fork, UT 84003-2181
Phone (801) 763-1009

National Provider Directory

National Provider Directory

Locations

789 E Bamberger Dr
Ste B
American Fork, UT 84003
Phone (801) 599-7848

NPI Registry JSON

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

{
    "created_epoch": "1350259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350259200000",
    "number": "1376895367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "789 BAMBERGER DR",
            "address_2": "SUITE B",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840032181",
            "telephone_number": "801-763-1009",
            "fax_number": "801-763-1051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "789 BAMBERGER DR",
            "address_2": "SUITE B",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840032181",
            "telephone_number": "801-763-1009",
            "fax_number": "801-763-1051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-15",
        "last_updated": "2012-10-15",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "801-400-3073",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in American Fork, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2012; 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.