Cascade Springs Home Health & Hospice, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

CASCADE SPRINGS HOME HEALTH & HOSPICE, LLC

Practice address

1795 Chelemes Way
Clearfield, UT 84015-6298

Phone

(801) 614-5700

Fax

(801) 546-1053

NPI assigned

Oct 31, 2011

Last updated

Oct 31, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Deven B Pettit

Title

Owner/Administrator

Phone

(801) 614-5700

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1821374117. Details of each certification follow.

• CCN 461608 Hospice · Active · Details

Hospice certification: CCN 461608

Legal name

CASCADE SPRINGS HOME HEALTH & HOSPICE, LLC

Doing business as

CASCADE SPRINGS HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Sep 11, 2014

Last certification

Sep 11, 2014

Ownership / control type

Proprietary - Partnership

Organization structure

LLCProprietary

Incorporated

Sep 20, 2011 in UT

Enrollment address

1795 Chelemes Way
Clearfield, UT 84015-6298

Listed as

Cascade Springs HospiceCCN 461608 · All quality measures

Ownership

For-Profit

Certified

Sep 11, 2014

Medicare certification status

ActiveFrom the Provider of Services file

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Cascade Springs Home Healthcare

  • Home Health Agency
  • Salt Lake City, UT
  • NPI 1053638924

  Jvo Inc.

  CMS ownership

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Garth James Muir, M.D.

  • Internal Medicine Physician
  • Draper, UT
  • NPI 1326200627

  Hospice

  Care Compare affiliation
• Nicholas Thomson, M.D.

  • Hematology & Oncology Physician
  • American Fork, UT
  • NPI 1891106936

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1320019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320019200000",
    "number": "1821374117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 160528",
            "city": "CLEARFIELD",
            "state": "UT",
            "postal_code": "840160528",
            "telephone_number": "801-614-5700",
            "fax_number": "801-546-1053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1795 CHELEMES WAY",
            "city": "CLEARFIELD",
            "state": "UT",
            "postal_code": "840156298",
            "telephone_number": "801-614-5700",
            "fax_number": "801-546-1053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADE SPRINGS HOME HEALTH & HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-31",
        "last_updated": "2011-10-31",
        "status": "A",
        "authorized_official_last_name": "PETTIT",
        "authorized_official_first_name": "DEVEN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "801-614-5700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Canova Chiropractic, Inc.
• Donald Ramon Canova, D.C.
• Scott R Carlton, DDS
• Kaitlynn Carnahan
• Cas Healthcare LLC
• CDP Mission Ventures LLC (FirstLight Home Care of Layton)
• Christopher Leif Chakrampilly Thomas
• Emily Chowen
• Clark J a Christensen, DMD
• Jacqueline Melinda Christensen

• Community Based Hospice Care Agency in Clearfield, UT
• Providers in Clearfield, UT by specialty
• Community Based Hospice Care Agency in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; 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.

Verify at the official NPI Registry.