Organization Active NPI

Aspire Hospice Care, Inc

  • Community Based Hospice Care Agency
  • Taylorsville, UT
National Provider Identifier
1609002120
Registry record updated Oct 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
ASPIRE HOSPICE CARE, INC
Practice address
1020 West Atherton Dr
Suite 220
Taylorsville, UT 84123-8017
Phone
(801) 292-0296
Fax
(801) 294-5601
NPI assigned
Jun 10, 2009
Last updated
Oct 7, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2015

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

Authorized official

Name
Kristina Mosley Carter
Title
Executive Director
Phone
(801) 292-0296

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

1020 West Atherton Dr
Suite 220
Taylorsville, UT 84123-8017

Mailing address

1020 West Atherton Dr.
Suite 220
Taylorsville, UT 84123-8017
Phone (801) 292-0296

Other identifiers 1

IdentifierTypeStateIssuer
1609002120MedicaidUT

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090722000333 UT Part A Provider - Hospice 9032261086 Practice locations: Taylorsville, UT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1609002120. Details of each certification follow.

Hospice certification: CCN 461580

Legal name
ASPIRE HOSPICE CARE, INC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jan 5, 2010
Last certification
Dec 7, 2021
Ownership / control type
Proprietary - Partnership
Organization structure
CorporationProprietary
Incorporated
Mar 19, 2009 in UT
Enrollment address
1020 W Atherton Dr
# 220
Taylorsville, UT 84123-3402

Care Compare: Hospice

Medicare Care Compare
Listed as
Aspire Hospice Care, IncCCN 461580 · All quality measures
Ownership
For-Profit
Certified
Jan 5, 2010
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
46D2005220Aspire Hospice Care Inc1020 West Atherton Dr Suite 220, Taylorsville, UT 84123Certificate of waiverMar 22, 2028

National Provider Directory

National Provider Directory

Locations

420 W 1500 S
Ste 101
Bountiful, UT 84010

1018 W Atherton Dr
#201
Taylorsville, UT 84123
Phone (801) 292-0296

1020 W Atherton Dr
Ste 220
Taylorsville, UT 84123
Phone (801) 292-0296

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Wendi Snell Individual 5% Or Greater Direct Ownership InterestDirector of Nursing May 1, 2020 36.5%
Corporate OfficerVice President May 1, 2020 36.5%
W-2 Managing EmployeeDirector of Nursing May 1, 2020 36.5%
Barbara Riddle Individual 5% Or Greater Direct Ownership InterestBoard Member May 1, 2020 12.5%
Scott Riddle Individual 5% Or Greater Direct Ownership InterestBoard Member May 1, 2020 12.5%
Kristina Nelson Carter Individual 5% Or Greater Direct Ownership InterestExecutive Director May 1, 2020 38.5%
Corporate OfficerPresident May 1, 2020 38.5%
Corporate DirectorExecutive Director May 1, 2020 38.5%
OtherFinancial Officer Jan 1, 2024 38.5%

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": "1244592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444176000000",
    "number": "1609002120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 WEST ATHERTON DR.",
            "address_2": "SUITE 220",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841238017",
            "telephone_number": "801-292-0296",
            "fax_number": "801-294-5601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 WEST ATHERTON DR",
            "address_2": "SUITE 220",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841238017",
            "telephone_number": "801-292-0296",
            "fax_number": "801-294-5601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPIRE HOSPICE CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-10",
        "last_updated": "2015-10-07",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_middle_name": "MOSLEY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "801-292-0296"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1609002120",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylorsville, UT

Sources for this page

Verify at the official NPI Registry.