Lodge by Valeo, LLC

Primary specialty

Inpatient HospiceTaxonomy code 315D00000X

Legal business name

LODGE BY VALEO, LLC

Practice address

1624 E 4500 S
Salt Lake City, UT 84117-4212

Phone

(801) 639-0020

NPI assigned

Oct 27, 2016

Organization subpart

Yes

Parent organization

EDURO HEALTHCARE, LLCAs reported in NPPES

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

Authorized official

Name

Brian J Ramos

Title

Managing Partner

Phone

(801) 601-1450

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Valeo Hospice LLC

  dba Valeo Home Health and Hospice

  • Community Based Hospice Care Agency
  • Murray, UT
  • NPI 1780026617

  Member Of

  NPD member

Change-of-ownership history 1

Change of ownership 1

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

• Valeo Hospice LLC

  dba Valeo Home Health and Hospice

  • Community Based Hospice Care Agency
  • Murray, UT
  • NPI 1780026617

  Sold to, 2016-11-02

  CMS change of ownership

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

{
    "created_epoch": "1477526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477526400000",
    "number": "1386196194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1376 E 3300 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841063069",
            "telephone_number": "801-639-0020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1624 E 4500 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841174212",
            "telephone_number": "801-639-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LODGE BY VALEO, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EDURO HEALTHCARE, LLC",
        "enumeration_date": "2016-10-27",
        "last_updated": "2016-10-27",
        "status": "A",
        "authorized_official_last_name": "RAMOS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "801-601-1450"
    },
    "taxonomies": [
        {
            "code": "315D00000X",
            "taxonomy_group": "",
            "desc": "Hospice, Inpatient",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Brooke-Ellison Lockwood, PA-C, MPAS
• Tiffany Lee Lockwood, CRT
• Cody Lockyer, LCSW
• Shantelle Lodder
• Christoffer Layton Loderup
• Kanika Skye Lodge
• Brikenna Loertscher
• Kearsten Nicole Loertscher
• Natalie K Loewen, M.D.
• Kacie Lofgran, FNP

• Inpatient Hospice in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Inpatient Hospice in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.