Alpha Omega Hospice LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

ALPHA OMEGA HOSPICE LLC

Practice address

776 E Riverside Dr Ste 200
Eagle, ID 83616-6966

Phone

(801) 225-1080

Fax

(801) 225-1069

NPI assigned

Feb 5, 2010

Last updated

Feb 5, 2010By the provider in NPPES

Organization subpart

Yes

Parent organization

ALPHA OMEGA HOSPICE LLCAs reported in NPPES

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

Authorized official

Name

Mrs. Ann Jenkins, RN

Title

Administrator

Phone

(801) 225-1080

Specialties & licenses 1

Addresses

Part of

Alpha Omega Hospice LLC

Locations

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

{
    "created_epoch": "1265328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265328000000",
    "number": "1699007336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 W CENTER ST",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840574637",
            "telephone_number": "801-225-1080",
            "fax_number": "801-225-1069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "776 E RIVERSIDE DR STE 200",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836166966",
            "telephone_number": "801-225-1080",
            "fax_number": "801-225-1069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA OMEGA HOSPICE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALPHA OMEGA HOSPICE LLC",
        "enumeration_date": "2010-02-05",
        "last_updated": "2010-02-05",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "801-225-1080",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "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 Feb 5, 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.

Verify at the official NPI Registry.