Organization Active NPI

Integrated Senior Care Hospice

Doing business as Peak Hospice

  • Community Based Hospice Care Agency
  • St George, UT
National Provider Identifier
1407268485
Registry record updated Apr 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
INTEGRATED SENIOR CARE HOSPICE
Doing business as
Peak Hospice
Practice address
616 S River Rd Ste 200
St George, UT 84790-2105
Phone
(435) 628-8944
Fax
(435) 635-4506
NPI assigned
May 27, 2014
Last updated
Apr 3, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2026

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

Authorized official

Name
Kelly Jensen
Title
Ceo
Phone
(801) 698-3943

Specialties & licenses 1

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

Addresses

Primary practice location

616 S River Rd Ste 200
St George, UT 84790-2105

Mailing address

616 S River Rd Ste 200
St George, UT 84790-2105
Phone (435) 628-8944

Other names 1

  • Peak Hospice Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140822002485 UT Part A Provider - Hospice 5698993202 Practice locations: St George, UT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1407268485. Details of each certification follow.

Hospice certification: CCN 461611

Legal name
INTEGRATED SENIOR CARE HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Dec 26, 2014
Last certification
Dec 26, 2014
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
May 9, 2014 in UT
Enrollment address
616 S River Rd
Ste 200
St George, UT 84790-2105

Care Compare: Hospice

Medicare Care Compare
Listed as
Integrated Senior Care Hospice (Peak Hospice)CCN 461611 · All quality measures
Ownership
For-Profit
Certified
Dec 26, 2014
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
46D2078734Peak Hospice616 S River Rd, Suite 200, Saint George, UT 84790Certificate of waiverJun 2, 2028

National Provider Directory

National Provider Directory

Locations

616 S River Rd
Ste 200
St George, UT 84790
Phone (435) 628-8944

Ownership & related parties

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.

NameRoleSinceShare
Timari Erin Nielson Individual W-2 Managing EmployeeAdministor Sep 1, 2021
John Wayne Bramall Individual 5% Or Greater Direct Ownership InterestCo-Owner Apr 10, 2018 49.5%
Corporate DirectorBoard Member May 14, 2014

Practitioners & affiliated clinicians

Affiliated clinicians 2

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

NPI Registry JSON

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

{
    "created_epoch": "1401148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775174400000",
    "number": "1407268485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 S RIVER RD STE 200",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847902105",
            "telephone_number": "435-628-8944",
            "fax_number": "435-635-4506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 S RIVER RD STE 200",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847902105",
            "telephone_number": "435-628-8944",
            "fax_number": "435-635-4506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED SENIOR CARE HOSPICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-27",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "801-698-3943"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peak Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St George, UT

Sources for this page

Verify at the official NPI Registry.