Judith Karman Bristol Hospice, L.L.C.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

JUDITH KARMAN BRISTOL HOSPICE, L.L.C.

Practice address

206 N 2100 W
Suite 202
Salt Lake City, UT 84116-4740

Phone

(801) 325-0175

Fax

(801) 478-3588

NPI assigned

Jan 30, 2015

Organization subpart

Yes

Parent organization

BRISTOL HOSPICE, L.L.C.As reported in NPPES

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

Authorized official

Name

Mr. Gerry Christensen

Title

Exec. VP/Cfo

Phone

(801) 433-0932

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Part of

Bristol Hospice LLC

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Stillwater Medical Center Authority

  • Rehabilitation Hospital Unit
  • Stillwater, OK
  • NPI 1336111830

  Member Of

  NPD member

Locations

Change-of-ownership history 1

Change of ownership 1

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

• Stillwater Medical Center Authority

  • Community Based Hospice Care Agency
  • Stillwater, OK
  • NPI 1386173466

  Sold to, 2017-06-30

  CMS change of ownership

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

{
    "created_epoch": "1422576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486598400000",
    "number": "1609266535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 N 2100 W",
            "address_2": "SUITE 202",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841164740",
            "telephone_number": "801-325-0175",
            "fax_number": "801-478-3588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 N 2100 W",
            "address_2": "SUITE 202",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841164740",
            "telephone_number": "801-325-0175",
            "fax_number": "801-478-3588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUDITH KARMAN BRISTOL HOSPICE, L.L.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BRISTOL HOSPICE, L.L.C.",
        "enumeration_date": "2015-01-30",
        "last_updated": "2017-02-09",
        "status": "A",
        "authorized_official_last_name": "CHRISTENSEN",
        "authorized_official_first_name": "GERRY",
        "authorized_official_title_or_position": "EXEC. VP/CFO",
        "authorized_official_telephone_number": "801-433-0932",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "UT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Michelle Judd
• Jordan Shea Judd
• Morgan Paige Judd
• Sierra Judd
• Victoria Evans Judd, MD
• Cidney Judkins
• Jordan Reed Judkins, M.D.
• Megan Judkins, MS, CGC
• Sasha Marie Judy
• Justyce Juergens

• Community Based Hospice Care Agency in Salt Lake City, UT
• Providers in Salt Lake City, 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 Feb 9, 2017; 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.