Hospice Care of Northern Utah, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

1015860 Issued in UT

Legal business name

HOSPICE CARE OF NORTHERN UTAH, LLC

Practice address

2721 N Hwy 89
Suite 200
Pleasant View, UT 84404-6258

Phone

(801) 689-3049

Fax

(801) 689-3045

NPI assigned

May 6, 2009

Last updated

Aug 19, 2013By 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

Ms. Eileen D Wood, MSN, CHPN

Title

Owner/Administrator

Phone

(801) 689-3049

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1241568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376870400000",
    "number": "1659505501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2721 N HWY 89",
            "address_2": "SUITE 200",
            "city": "PLEASANT VIEW",
            "state": "UT",
            "postal_code": "844046258",
            "telephone_number": "801-689-3049",
            "fax_number": "801-689-3045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2721 N HWY 89",
            "address_2": "SUITE 200",
            "city": "PLEASANT VIEW",
            "state": "UT",
            "postal_code": "844046258",
            "telephone_number": "801-689-3049",
            "fax_number": "801-689-3045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE CARE OF NORTHERN UTAH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-06",
        "last_updated": "2013-08-19",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "801-689-3049",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSN, CHPN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "UT",
            "license": "1015860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2013; 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.