Active NPI
Refined Hospice LLC
Doing business as Refined Healthcare Services LLC
- Community Based Hospice Care Agency
- Midvale, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- REFINED HOSPICE LLC
- Doing business as
- Refined Healthcare Services LLC
- Practice address
- 623 E Fort Union Blvd Ste 105
Midvale, UT 84047-5529 - Phone
- (801) 261-9490
- Fax
- (801) 261-5856
- NPI assigned
- Feb 17, 2006
- Last updated
- Sep 2, 2025
- 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
- Tyler Dale Young
- Title
- Vice President
- Phone
- (801) 879-2664
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | NU | Primary |
Addresses
Primary practice location
623 E Fort Union Blvd Ste 105
Midvale, UT 84047-5529
Mailing address
623 E Fort Union Blvd Ste 105
Midvale, UT 84047-5529
Phone (801) 261-9490
Other names 1
- Refined Healthcare Services LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231218002398 | UT | Part A Provider - Hospice | 8921457888 | Practice locations: Midvale, UT |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1497720080. Details of each certification follow.
Hospice certification: CCN 461542
- Legal name
- REFINED HOSPICE LLC
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Nov 30, 2004
- Last certification
- Sep 29, 2021
- Ownership / control type
- Proprietary - Partnership
- Organization structure
- LLC
- Incorporated
- Oct 10, 2023 in UT
- Enrollment address
- 623 E Fort Union Blvd
Ste 105
Midvale, UT 84047-5529
Care Compare: Hospice
Medicare Care Compare- Listed as
- Refined Hospice LLC
- Ownership
- For-Profit
- Certified
- Nov 30, 2004
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
6671 S Redwood Rd
Ste 101
West Jordan, UT 84084
Phone (801) 261-9490
Ownership & related parties
All disclosed owners & managing parties 5
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Thomas R Grose | 5% Or Greater Direct Ownership Interest | Nov 1, 2023 | 50% |
| Corporate Officer | Nov 1, 2023 | ||
| W-2 Managing Employee | Nov 1, 2023 | ||
| Brooke Higley | W-2 Managing Employee | Nov 1, 2023 | |
| Tyler D Young | W-2 Managing Employee | Nov 1, 2023 | |
| Allison D Turner | W-2 Managing Employee | Nov 1, 2023 | |
| Greg S Romney | 5% Or Greater Direct Ownership Interest | Nov 1, 2023 | 50% |
| Corporate Officer | Nov 1, 2023 |
Change-of-ownership history 2
| Date | Event | Counterparty |
|---|---|---|
| Nov 1, 2023 | Change of Ownership | Charter Healthcare of West Jordan, LLC |
| Nov 1, 2023 | Change of Ownership | Refined Hospice LLC |
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Primary Care Nurse Practitioner
- Draper, UT
- NPI 1356952840
Affiliated clinicians 3
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": "1140134400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1756771200000",
"number": "1497720080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "623 E FORT UNION BLVD STE 105",
"city": "MIDVALE",
"state": "UT",
"postal_code": "840475529",
"telephone_number": "801-261-9490",
"fax_number": "801-261-5856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "623 E FORT UNION BLVD STE 105",
"city": "MIDVALE",
"state": "UT",
"postal_code": "840475529",
"telephone_number": "801-261-9490",
"fax_number": "801-261-5856"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REFINED HOSPICE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-17",
"last_updated": "2025-09-02",
"certification_date": "2024-03-05",
"status": "A",
"authorized_official_last_name": "YOUNG",
"authorized_official_first_name": "TYLER",
"authorized_official_middle_name": "DALE",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "801-879-2664"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Refined Healthcare Services LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Midvale, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; 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.
- 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.