TLC Hospice

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

TLC HOSPICE

Practice address

503 W 2600 S Ste 200
Bountiful, UT 84010-7717

Phone

(801) 294-0560

Fax

(801) 992-6590

NPI assigned

Apr 6, 2012

Organization subpart

No

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

Authorized official

Name

Derek Jacob Squire

Title

Owner

Phone

(801) 602-1802

Specialties & licenses 1

Addresses

Other names 1

• Tender Care Hospice Doing business as

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

{
    "created_epoch": "1333670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334188800000",
    "number": "1558627273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 W 2070 S",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840587513",
            "telephone_number": "801-602-1802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 W 2600 S STE 200",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840107717",
            "telephone_number": "801-294-0560",
            "fax_number": "801-992-6590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLC HOSPICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-06",
        "last_updated": "2012-04-12",
        "status": "A",
        "authorized_official_last_name": "SQUIRE",
        "authorized_official_first_name": "DEREK",
        "authorized_official_middle_name": "JACOB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-602-1802"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tender Care Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brittney Kristine Tidwell
• Heidi Olsen Tidwell, PT
• Kaylie Nicole Tietjen
• Brenda Till
• Eryn A Tim
• Todd C. Liston DDS, Ms, PC
• Russell H Todd, MD
• Stephanie Lauren Todd, CSW
• Kalolaine Tongaonevai
• Kathryn Tonkovich II, AUD

• 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 Apr 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.