NPIMap

Organization Active NPI

Midas Creek Home Health & Hospice

  • Community Based Hospice Care Agency
  • South Jordan, UT
National Provider Identifier
1710439088
Registry record updated Oct 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
MIDAS CREEK HOME HEALTH & HOSPICE
Practice address
1124 W South Jordan Pkwy
Ste C
South Jordan, UT 84095-5509
Phone
(801) 302-8526
Fax
(801) 446-6883
NPI assigned
Nov 2, 2016
Last updated
Oct 19, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2017

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

Authorized official

Name
Mr. Carl Darwin Nelson, CPA
Title
Administrator
Phone
(801) 302-8526

Specialties & licenses 1

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

Addresses

Primary practice location

1124 W South Jordan Pkwy
Ste C
South Jordan, UT 84095-5509

Mailing address

1124 W South Jordan Pkwy
Ste C
South Jordan, UT 84095-5509
Phone (801) 302-8526

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1478044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508371200000",
    "number": "1710439088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 W SOUTH JORDAN PKWY",
            "address_2": "STE C",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840955509",
            "telephone_number": "801-302-8526",
            "fax_number": "801-446-6883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 W SOUTH JORDAN PKWY",
            "address_2": "STE C",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840955509",
            "telephone_number": "801-302-8526",
            "fax_number": "801-446-6883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDAS CREEK HOME HEALTH & HOSPICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-02",
        "last_updated": "2017-10-19",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "DARWIN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "801-302-8526",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "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 Oct 19, 2017; 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.