Organization Active NPI

Amg Hospice of Utah LLC

Doing business as Sequoia Hospice Care

  • Community Based Hospice Care Agency
  • Midvale, UT
National Provider Identifier
1750121216
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
LLCProprietary
Enrollment address
7070 S Union Park Ave
Ste 300
Midvale, UT 84047-6061

Care Compare: Hospice

Medicare Care Compare
Listed as
Sequoia Hospice CareCCN 461639 · All quality measures
Certified
Jan 23, 2025
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Nicholas Goodfellow Individual W-2 Managing EmployeeAd; Jul 1, 2024
David Wayne Nattress Individual 5% Or Greater Direct Ownership InterestPresident Jul 1, 2024 100%
Corporate OfficerPresident Jul 1, 2024
Troy J Badger Individual Contracted Managing EmployeeMD; 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.

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

Verify at the official NPI Registry.