Active NPI
Amg Hospice of Utah LLC
Doing business as Sequoia Hospice Care
- Community Based Hospice Care Agency
- Midvale, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- AMG HOSPICE OF UTAH LLC
- Doing business as
- Sequoia Hospice Care
- Practice address
- 7070 S Union Park Ave Ste 300
Midvale, UT 84047-6061 - Phone
- (801) 421-0200
- Fax
- (801) 421-0199
- NPI assigned
- May 30, 2024
- Last updated
- Apr 23, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David W Nattress
- Title
- President
- Phone
- (208) 761-7170
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
7070 S Union Park Ave Ste 300
Midvale, UT 84047-6061
Mailing address
7070 S Union Park Ave Ste 300
Midvale, UT 84047-6061
Phone (801) 421-0200
Other names 1
- Sequoia Hospice Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240828002191 | UT | Part A Provider - Hospice | 9133668601 | Practice locations: Midvale, UT |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1750121216. Details of each certification follow.
Hospice certification: CCN 461639
- Legal name
- AMG HOSPICE OF UTAH LLC
- Doing business as
- SEQUOIA HOSPICE CARE
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Jan 23, 2025
- Last certification
- Jan 23, 2025
- Organization structure
- LLC
- Enrollment address
- 7070 S Union Park Ave
Ste 300
Midvale, UT 84047-6061
Care Compare: Hospice
Medicare Care Compare- Listed as
- Sequoia Hospice Care
- Certified
- Jan 23, 2025
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryOwnership & related parties
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Nicholas Goodfellow | W-2 Managing Employee | Jul 1, 2024 | |
| David Wayne Nattress | 5% Or Greater Direct Ownership Interest | Jul 1, 2024 | 100% |
| Corporate Officer | Jul 1, 2024 | ||
| Troy J Badger | Contracted Managing Employee | Mar 1, 2024 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Cardiovascular Disease Physician
- Boise, ID
- NPI 1831335660
Contracted Managing Employee
Practitioners & affiliated clinicians
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717027200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776902400000",
"number": "1750121216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7070 S UNION PARK AVE STE 300",
"city": "MIDVALE",
"state": "UT",
"postal_code": "840476061",
"telephone_number": "801-421-0200",
"fax_number": "801-421-0199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7070 S UNION PARK AVE STE 300",
"city": "MIDVALE",
"state": "UT",
"postal_code": "840476061",
"telephone_number": "801-421-0200",
"fax_number": "801-421-0199"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMG HOSPICE OF UTAH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-30",
"last_updated": "2026-04-23",
"certification_date": "2026-04-23",
"status": "A",
"authorized_official_last_name": "NATTRESS",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "208-761-7170"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Sequoia Hospice Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Midvale, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.