Amg Hospice of Utah LLC
Organization Active NPI Community Based Hospice Care Agency · Midvale, UT
NPI 1750121216 · NPPES record last updated Apr 23, 2026
Key facts
- NPI
- 1750121216
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Based Hospice Care Agency 251G00000X
- Legal business name
- AMG HOSPICE OF UTAH LLC
- 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
- Organization subpart
- No
Authorized official
- Name
- David W Nattress
- Title
- President
- Phone
- (208) 761-7170
Owners & managing parties with NPI records 1
-
Troy J Badger, MD
Affiliated clinicians 2
-
Ann Louise Clark, MD
-
Troy J Badger, MD
Medicare Care Compare: Hospice
- Listed as
- Sequoia Hospice Care
- Certified
- Jan 23, 2025
- Medicare certification status
- Active
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
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 · Proprietary
- Enrollment address
- 7070 S Union Park Ave
Ste 300
Midvale, UT 84047-6061
All disclosed owners & managing parties 3
| 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 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240828002191 | UT | Part a Provider - Hospice | 9133668601 | Practice locations: Midvale, UT |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Yes |
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
- Sequoia Hospice Care
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All providers in Midvale, UT · Community Based Hospice Care Agency in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 23, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.