Active NPI
Cherry Tree Hospice, LLC
- Community Based Hospice Care Agency
- Riverton, UT
National Provider Identifier
1437233731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- CHERRY TREE HOSPICE, LLC
- Practice address
- 12141 S 2735 W
Riverton, UT 84065-7650 - Phone
- (801) 631-5386
- Fax
- (801) 437-3247
- NPI assigned
- Oct 24, 2006
- Last updated
- Sep 20, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Ian Dawe, R.N.
- Title
- Chief Operating Officer
- Phone
- (801) 224-5600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | NU | Primary |
Addresses
Primary practice location
12141 S 2735 W
Riverton, UT 84065-7650
Mailing address
PO Box 713
Orem, UT 84059-0713
Phone (801) 631-5386
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437233731 | Medicaid | UT |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1190246400000",
"number": "1437233731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 713",
"city": "OREM",
"state": "UT",
"postal_code": "840590713",
"telephone_number": "801-631-5386",
"fax_number": "801-437-3247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12141 S 2735 W",
"city": "RIVERTON",
"state": "UT",
"postal_code": "840657650",
"telephone_number": "801-631-5386",
"fax_number": "801-437-3247"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHERRY TREE HOSPICE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-24",
"last_updated": "2007-09-20",
"status": "A",
"authorized_official_last_name": "DAWE",
"authorized_official_first_name": "IAN",
"authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
"authorized_official_telephone_number": "801-224-5600",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "R.N."
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1437233731",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Riverton, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.