Active NPI
Hospice Alliance of Southern Utah, Inc.
- Community Based Hospice Care Agency
- St George, UT
National Provider Identifier
1609982107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- 2006-HOSPICE-67900
- Legal business name
- HOSPICE ALLIANCE OF SOUTHERN UTAH, INC.
- Practice address
- 965 E 700 S
Suite 201
St George, UT 84790-4082 - Phone
- (435) 656-2889
- Fax
- (435) 656-2877
- NPI assigned
- Aug 21, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Justin Larsen
- Title
- Owner/Ceo
- Phone
- (435) 753-0707
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | 2006-HOSPICE-67900 | UT | Primary |
Addresses
Primary practice location
965 E 700 S
Suite 201
St George, UT 84790-4082
Mailing address
965 S 100 W Ste 204
Logan, UT 84321-6072
Phone (435) 753-0707
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1289174400000",
"number": "1609982107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "965 S 100 W STE 204",
"city": "LOGAN",
"state": "UT",
"postal_code": "843216072",
"telephone_number": "435-753-0707",
"fax_number": "435-755-8505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "965 E 700 S",
"address_2": "SUITE 201",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847904082",
"telephone_number": "435-656-2889",
"fax_number": "435-656-2877"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOSPICE ALLIANCE OF SOUTHERN UTAH, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-21",
"last_updated": "2010-11-08",
"status": "A",
"authorized_official_last_name": "LARSEN",
"authorized_official_first_name": "JUSTIN",
"authorized_official_title_or_position": "OWNER/CEO",
"authorized_official_telephone_number": "435-753-0707",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "UT",
"license": "2006-HOSPICE-67900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St George, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.