Organization Active NPI

Refined Hospice LLC

Doing business as Refined Healthcare Services LLC

  • Community Based Hospice Care Agency
  • Midvale, UT
National Provider Identifier
1497720080
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
LLCProprietary
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 LLCCCN 461542 · All quality measures
Ownership
For-Profit
Certified
Nov 30, 2004
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Thomas R Grose Individual 5% Or Greater Direct Ownership Interest Nov 1, 2023 50%
Corporate OfficerCeo/Admin Nov 1, 2023
W-2 Managing EmployeeCeo Nov 1, 2023
Brooke Higley Individual W-2 Managing EmployeeDirector of Operations Nov 1, 2023
Tyler D Young Individual W-2 Managing EmployeeVP Nov 1, 2023
Allison D Turner Individual W-2 Managing EmployeeDon Nov 1, 2023
Greg S Romney Individual 5% Or Greater Direct Ownership Interest Nov 1, 2023 50%
Corporate OfficerPresient of Board Nov 1, 2023

Change-of-ownership history 2

DateEventCounterparty
Nov 1, 2023 Change of OwnershipThis provider was the buyer Charter Healthcare of West Jordan, LLCCCN 461542, UT, NPI 1497720080
Nov 1, 2023 Change of OwnershipThis provider was the seller Refined Hospice LLCCCN 461542, UT, NPI 1497720080

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.

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

Verify at the official NPI Registry.