Sego Hospice LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

SEGO HOSPICE LLC

Practice address

286 N Gateway Dr Ste 101C
Providence, UT 84332-5602

Phone

(435) 881-5869

Fax

(435) 787-1365

NPI assigned

Dec 28, 2020

Organization subpart

No

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

Authorized official

Name

Lisa Stokes, RN

Title

Owner

Phone

(435) 881-5869

Specialties & licenses 1

Addresses

Other names 1

• Sego Hospice LLC Former legal business name

Locations

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

{
    "created_epoch": "1609113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609113600000",
    "number": "1851988620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "286 N GATEWAY DR STE 101C",
            "city": "PROVIDENCE",
            "state": "UT",
            "postal_code": "843325602",
            "telephone_number": "435-881-5869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "286 N GATEWAY DR STE 101C",
            "city": "PROVIDENCE",
            "state": "UT",
            "postal_code": "843325602",
            "telephone_number": "435-881-5869",
            "fax_number": "435-787-1365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEGO HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-28",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A",
        "authorized_official_last_name": "STOKES",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-881-5869",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sego Hospice LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Emri Sanderson, RBT
• Heather Saxton Maughan, MA, CCC/SLP
• Abbey Schaffner
• Jessika Schmid
• Tiffany Schultz, APRN
• Russell David Seigenberg, PH.D.
• Kevin Michael Shelton, RBT
• Charles Jeffrey Shields, DO
• Sierra Chiropractic, PLLC
• Sleepy Smiles LLC

• Community Based Hospice Care Agency in Providence, UT
• Providers in Providence, 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 Dec 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.