Active NPI
Rocky Mountain Care - Palliative Care LLC
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Woods Cross, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Legal business name
- ROCKY MOUNTAIN CARE - PALLIATIVE CARE LLC
- Practice address
- 598 W 900 S Ste 105
Woods Cross, UT 84010-8329 - Phone
- (801) 693-2380
- Fax
- (801) 693-2379
- NPI assigned
- Apr 9, 2021
- Last updated
- Feb 18, 2025
- Organization subpart
- Yes
- Parent organization
- SENIOR HEALTH LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Edward Bangerter
- Title
- Authorized Official
- Phone
- (801) 397-4101
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | |||
| Internal Medicine Physician | 207R00000X | |||
| Family Nurse Practitioner | 363LF0000X | |||
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | Primary |
Addresses
Primary practice location
598 W 900 S Ste 105
Woods Cross, UT 84010-8329
Mailing address
598 W 900 S Ste 105
Woods Cross, UT 84010-8329
Phone (801) 693-2380
Other practice location 1
2100 Northwest Blvd Ste 120
Coeur D Alene, ID 83814-5047
Phone (208) 505-4060
Other practice location 2
2929 W Navigator Dr Ste 310
Meridian, ID 83642-8297
Phone (208) 505-4060
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT, ID
Enrollment records 2
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 46D2337075 | Rocky Mountain Care - Palliative Care | Certificate of waiver | Jan 14, 2028 |
National Provider Directory
National Provider Directory- Part of
- Senior Health LLC
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Senior Health - PERS
- Emergency Response System Companies
- Woods Cross, UT
- NPI 1497221618
Member Of
Locations
2929 W Navigator Dr
Ste 310
Meridian, ID 83642
Phone (208) 506-7200
576 W 900 S
Ste 103
Woods Cross, UT 84010
Phone (801) 693-2380
576 W 900 S
Ste 104
Woods Cross, UT 84010
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
dba Senior Health - Physician Services
- Geriatric Medicine (Family Medicine) Physician
- Woods Cross, UT
- NPI 1134721228
Practitioners & affiliated clinicians
Practitioners 10
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Provo, UT
- NPI 1811746506
-
- Geriatric Medicine (Internal Medicine) Physician
- Heber City, UT
- NPI 1619264397
-
- Hospice and Palliative Medicine (Family Medicine) Physician
- Murray, UT
- NPI 1386855021
ID
-
- Internal Medicine Physician
- Meridian, ID
- NPI 1497797302
-
- Physician Assistant
- Murray, UT
- NPI 1760273221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617926400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1739836800000",
"number": "1386224814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "598 W 900 S STE 105",
"city": "WOODS CROSS",
"state": "UT",
"postal_code": "840108329",
"telephone_number": "801-693-2380",
"fax_number": "801-693-2379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "598 W 900 S STE 105",
"city": "WOODS CROSS",
"state": "UT",
"postal_code": "840108329",
"telephone_number": "801-693-2380",
"fax_number": "801-693-2379"
}
],
"practiceLocations": [
{
"address_1": "2100 Northwest Blvd Ste 120",
"address_purpose": "LOCATION",
"city": "Coeur D Alene",
"state": "ID",
"postal_code": "838145047",
"country_code": "US",
"telephone_number": "208-505-4060",
"fax_number": "801-693-2399",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2929 W Navigator Dr Ste 310",
"address_purpose": "LOCATION",
"city": "Meridian",
"state": "ID",
"postal_code": "836428297",
"country_code": "US",
"telephone_number": "208-505-4060",
"fax_number": "801-693-2379",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ROCKY MOUNTAIN CARE - PALLIATIVE CARE LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SENIOR HEALTH LLC",
"enumeration_date": "2021-04-09",
"last_updated": "2025-02-18",
"certification_date": "2025-02-18",
"status": "A",
"authorized_official_last_name": "BANGERTER",
"authorized_official_first_name": "EDWARD",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "801-397-4101"
},
"taxonomies": [
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RH0002X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woods Cross, UT
- Renew Resilience Counseling, LLC
- RMC Personal Care, LLC (Rocky Mountain Personal Care - Utah)
- Rmce Skilled Care LLC (Rocky Mountain Care - Skilled Care)
- Rmce Utah Home Health and Hospice LLC (Rocky Mountain Home Health - Utah)
- Rmce Utah Home Health and Hospice LLC (Rocky Mountain Hospice - Utah)
- Rocky Mountain Personal Care LLC
- Rocky Mountain Personal Care LLC (Rocky Mountain Skilled Care)
- James Joseph Rokop, PH.D.
- Katie Roop
- Stephanie Rudas, APRN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.