Mountain Region Hospice & Homecare, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

2010-HOSPICE-92677 Issued in UT

Legal business name

MOUNTAIN REGION HOSPICE & HOMECARE, LLC

Practice address

106 W 500 S
Suite 103
Bountiful, UT 84010-6203

Phone

(801) 335-0522

Fax

(801) 335-0523

NPI assigned

Feb 4, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Bruce M Morrison

Title

Owner

Phone

(801) 573-1221

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1233705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316131200000",
    "number": "1902044563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 W 500 S",
            "address_2": "SUITE 103",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840106203",
            "telephone_number": "801-335-0522",
            "fax_number": "801-335-0523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 W 500 S",
            "address_2": "SUITE 103",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840106203",
            "telephone_number": "801-335-0522",
            "fax_number": "801-335-0523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN REGION HOSPICE & HOMECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-04",
        "last_updated": "2011-09-16",
        "status": "A",
        "authorized_official_last_name": "MORRISON",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-573-1221",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "UT",
            "license": "2010-HOSPICE-92677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2011; 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.