Good Shepherd Homecare and Hospice of Utah LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

2006-HOSPICE-72883 Issued in UT

Legal business name

GOOD SHEPHERD HOMECARE AND HOSPICE OF UTAH LLC

Doing business as

Good Shepherd Homecare & Hospice

Practice address

3584 W 9000 S Ste 300
West Jordan, UT 84088-5711

Phone

(801) 277-6474

Fax

(877) 789-0498

NPI assigned

Oct 26, 2006

Last updated

Aug 27, 2026By 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

Mrs. Kelly J Anderson

Title

Executive Director

Phone

(801) 277-6474

Specialties & licenses 2

Addresses

Other names 2

• Good Shepherd Homecare & Hospice Doing business as
• Good Shepherd Hospice Other name

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1669557864. Details of each certification follow.

• CCN 461560 Hospice · Active · Details

Hospice certification: CCN 461560

Legal name

GOOD SHEPHERD HOMECARE AND HOSPICE OF EASTERN UTAH, INC.

Certification status

Active

Provider type (POS)

Hospice

Participating since

Mar 29, 2006

Last certification

Sep 10, 2020

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Nov 8, 2005 in UT

Enrollment address

1680 W Highway 40
Ste 104
Vernal, UT 84078-4142

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Good Shepherd Homecare and Hospice of Eastern Utah, Inc.

  • Home Health Agency
  • Vernal, UT
  • NPI 1184820854

  6204850654

  Same PAC ID

Listed as

Good Shepherd Hospice - VernalCCN 461560 · All quality measures

Ownership

For-Profit

Certified

Mar 29, 2006

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Tax ID family

Good Shepherd Homecare and Hospice of Eastern Utah Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Good Shepherd Homecare and Hospice of Eastern Utah, Inc.

  • Home Health Agency
  • Vernal, UT
  • NPI 1184820854
  NPD tax ID

Locations

All disclosed owners & managing parties 3

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

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Frederick L Gottlieb, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Salt Lake City, UT
  • NPI 1174532931

  Hospice

  Care Compare affiliation
• Shaun C Shurtliff, DO

  • Family Medicine Physician
  • Vernal, UT
  • NPI 1285719294

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787788800000",
    "number": "1669557864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3584 W 9000 S STE 300",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840885711",
            "telephone_number": "801-277-6474",
            "fax_number": "877-789-0498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3584 W 9000 S STE 300",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840885711",
            "telephone_number": "801-277-6474",
            "fax_number": "877-789-0498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SHEPHERD HOMECARE AND HOSPICE OF UTAH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "801-277-6474",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "UT",
            "license": "2006-HOSPICE-72883",
            "primary": true
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Good Shepherd Homecare & Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Good Shepherd Hospice",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Rosanna Gomez
• Bridgette Gonzales
• Cathy J Gonzales, FNP
• Alejandra Gonzalez, COTA/L
• Claudia L Gonzalez
• Good Shepherd Medical Group
• Christine Bryanne Goodell, D.D.S
• Leslie L Goodwin, MD
• Crystal Miquel Gordon
• Janna Gordon, PHD

• Community Based Hospice Care Agency in West Jordan, UT
• Providers in West Jordan, 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 Aug 27, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.