Primrose Hospice Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

PRIMROSE HOSPICE INC.

Practice address

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

Phone

(435) 787-1369

NPI assigned

Jan 26, 2007

Last updated

Feb 13, 2013By 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. Mark C Stokes

Title

Ceo

Phone

(435) 787-1369

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 1891841482. Details of each certification follow.

• CCN 461571 Hospice · Active · Details

Hospice certification: CCN 461571

Legal name

PRIMROSE HOSPICE INC.

Certification status

Active

Provider type (POS)

Hospice

Participating since

Sep 7, 2007

Last certification

Dec 10, 2020

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Jan 26, 2007 in UT

Enrollment address

286N Gateway Dr
101
Providence, UT 84332-9733

Listed as

Primrose Hospice, Inc.CCN 461571 · All quality measures

Ownership

For-Profit

Certified

Sep 7, 2007

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 1

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

Affiliated clinicians 6

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

• Tyler Carnahan Dixon, D.O.

  • Family Medicine Physician
  • Clinton, UT
  • NPI 1144339904

  Hospice

  Care Compare affiliation
• Andrew B Grose, DO

  • Family Medicine Physician
  • Providence, UT
  • NPI 1245895663

  Hospice

  Care Compare affiliation
• Alma L Parker II, M.D.

  • Family Medicine Physician
  • Vernal, UT
  • NPI 1164474037

  Hospice

  Care Compare affiliation
• Richard T Stevens, MD

  • Family Medicine Physician
  • Providence, UT
  • NPI 1790739449

  Hospice

  Care Compare affiliation
• Bradley A Chambers, D.O

  • Internal Medicine Physician
  • Peoria, IL
  • NPI 1376838326

  Hospice

  Care Compare affiliation
• Martin John Oates, MD

  • Family Medicine Physician
  • Buckhannon, WV
  • NPI 1346265709

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360713600000",
    "number": "1891841482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "286 N GATEWAY DR",
            "address_2": "STE 101",
            "city": "PROVIDENCE",
            "state": "UT",
            "postal_code": "843325602",
            "telephone_number": "435-787-1369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "286 N GATEWAY DR",
            "address_2": "STE 101",
            "city": "PROVIDENCE",
            "state": "UT",
            "postal_code": "843325602",
            "telephone_number": "435-787-1369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMROSE HOSPICE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2013-02-13",
        "status": "A",
        "authorized_official_last_name": "STOKES",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "435-787-1369",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "UT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tia Peterson, NP-C
• Whitney Petterborg, RDN
• Sherrie Petty
• Camille Porter
• Primrose Home Care Inc.
• Providence City, LLC (Cache Valley Senior Living Community)
• Providence Dermatology LLC (Providence Dermatology)
• Providence PDC PLLC (Platinum Dental Care-Providence)
• Aariah Lee Pugsley, RBT
• Quantum Healthcare 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 Feb 13, 2013; 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.