Moniker Hospice Services of Salt Lake City, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

67685 Issued in UT

Legal business name

MONIKER HOSPICE SERVICES OF SALT LAKE CITY, INC.

Practice address

1751 W Alexander St Ste 107
West Valley, UT 84119-7600

Phone

(801) 506-1500

Fax

(801) 506-1501

NPI assigned

Jul 7, 2005

Organization subpart

No

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

Authorized official

Name

Steve Murphy

Title

SVP, Finance

Phone

(619) 757-2700

Specialties & licenses 1

Addresses

Other names 1

• Silverado Hospice Salt Lake City Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700438400000",
    "number": "1801894597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2365 NORTHSIDE DR STE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921082720",
            "telephone_number": "888-871-0766",
            "fax_number": "866-551-0846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 W ALEXANDER ST STE 107",
            "city": "WEST VALLEY",
            "state": "UT",
            "postal_code": "841197600",
            "telephone_number": "801-506-1500",
            "fax_number": "801-506-1501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONIKER HOSPICE SERVICES OF SALT LAKE CITY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "SVP, FINANCE",
        "authorized_official_telephone_number": "619-757-2700"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "UT",
            "license": "67685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Silverado Hospice Salt Lake City",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Cody Morgan, FNP-BC

• All providers in West Valley, UT
• Community Based Hospice Care Agency in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.