Organization Active NPI

Legacy River Hospice LLC

  • Community Based Hospice Care Agency
  • South Jordan, UT
National Provider Identifier
1659510352
Registry record updated Feb 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
LEGACY RIVER HOSPICE LLC
Practice address
11578 Bluerock Ave
South Jordan, UT 84095-5042
Phone
(801) 898-0793
NPI assigned
Feb 19, 2009
Last updated
Feb 19, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2009

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

Authorized official

Name
James Schrader
Title
Administrator
Phone
(801) 898-0793

Specialties & licenses 1

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

Addresses

Primary practice location

11578 Bluerock Ave
South Jordan, UT 84095-5042

Mailing address

11578 Bluerock Ave
South Jordan, UT 84095-5042
Phone (801) 898-0793

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1235001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235001600000",
    "number": "1659510352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11578 BLUEROCK AVE",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840955042",
            "telephone_number": "801-898-0793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11578 BLUEROCK AVE",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840955042",
            "telephone_number": "801-898-0793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY RIVER HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-19",
        "last_updated": "2009-02-19",
        "status": "A",
        "authorized_official_last_name": "SCHRADER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "801-898-0793"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Jordan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2009; 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.