NPIMap

Organization Active NPI

Silver Lake Healthcare, Inc.

Doing business as Symbii Hospice

  • Community Based Hospice Care Agency
  • Layton, UT
National Provider Identifier
1417248147
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
SILVER LAKE HEALTHCARE, INC.
Doing business as
Symbii Hospice
Practice address
1916 N 700 W Ste 110
Layton, UT 84041-5754
Phone
(801) 444-0221
Fax
(801) 444-2658
NPI assigned
Apr 28, 2011
Last updated
Jun 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Authorized official

Name
Amber L Tueller
Title
Secretary
Phone
(208) 207-2726

Specialties & licenses 1

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

Addresses

Primary practice location

1916 N 700 W Ste 110
Layton, UT 84041-5754

Mailing address

1916 N 700 W Ste 110
Layton, UT 84041-5754
Phone (801) 444-0221

Other names 1

  • Symbii Hospice Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110815000339 UT Part A Provider - Hospice 9436328184 Practice locations: Layton, UT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1417248147. Details of each certification follow.

Hospice certification: CCN 461567

Legal name
SILVER LAKE HEALTHCARE INC
Doing business as
SYMBII HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
May 11, 2007
Last certification
Nov 25, 2020
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Apr 1, 2011 in NV
Enrollment address
1916 N 700 W
Ste 110
Layton, UT 84041-5754

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospice

Medicare Care Compare
Listed as
Symbii HospiceCCN 461567 · All quality measures
Ownership
For-Profit
Certified
May 11, 2007
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Silver Lake Healthcare Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 8

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Larson Alder Individual W-2 Managing EmployeeAdministrator Nov 1, 2019
Cornerstone Healthcare Inc Organization, Eagle, ID For-profit 5% Or Greater Direct Ownership Interest May 15, 2011 100%
Brent Mills Individual Corporate OfficerTreasurer Apr 20, 2026
Brent Guerisoli Individual Corporate DirectorDirector& Sole Board Member Feb 9, 2023
The Pennant Group Inc Organization, Eagle, ID Corporation, For-profit 5% Or Greater Indirect Ownership Interest Oct 1, 2019 100%
John J Gochnour Individual Corporate OfficerPresident Feb 2, 2024
Grant L Christian Individual Contracted Managing EmployeeMD; Jan 1, 2016
Amber Tueller Individual Corporate OfficerSecretary Apr 16, 2025

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 141

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 141

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": "1303948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749513600000",
    "number": "1417248147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1916 N 700 W STE 110",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840415754",
            "telephone_number": "801-444-0221",
            "fax_number": "801-444-2658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1916 N 700 W STE 110",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840415754",
            "telephone_number": "801-444-0221",
            "fax_number": "801-444-2658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER LAKE HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-28",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A",
        "authorized_official_last_name": "TUELLER",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "208-207-2726"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Symbii Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Symbii Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Layton, UT

Sources for this page

Verify at the official NPI Registry.