Adagio Hospice LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

ADAGIO HOSPICE LLC

Practice address

845 S Main St Ste C6
Bountiful, UT 84010-6482

Phone

(801) 335-7297

Fax

(801) 335-2466

NPI assigned

Oct 30, 2012

Last updated

Jul 22, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jon C Mather

Title

Owner

Phone

(801) 367-6294

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Locations

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Health Watch Hospice of Utah Inc.

  • Community Based Hospice Care Agency
  • Orem, UT
  • NPI 1518500479

  Sold to, 2020-01-01

  CMS change of ownership

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

{
    "created_epoch": "1351555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405987200000",
    "number": "1538413489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 S MAIN ST STE C6",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840106482",
            "telephone_number": "801-335-7297",
            "fax_number": "801-335-2466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 S MAIN ST STE C6",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840106482",
            "telephone_number": "801-335-7297",
            "fax_number": "801-335-2466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAGIO HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-30",
        "last_updated": "2014-07-22",
        "status": "A",
        "authorized_official_last_name": "MATHER",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-367-6294"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in Bountiful, UT
• Providers in Bountiful, UT by specialty
• Community Based Hospice Care Agency in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.