Wasatch Regional Hospice

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

WASATCH REGIONAL HOSPICE

Doing business as

Aegis Hospice

Practice address

2974 W 3500 S
Suite 600
West Valley City, UT 84119-3630

Phone

(801) 849-0696

Fax

(801) 542-0078

NPI assigned

Aug 9, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Curtis W Larsen

Title

President

Phone

(801) 628-4575

Specialties & licenses 1

Addresses

Other names 1

• Aegis Hospice Doing business as

Locations

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

{
    "created_epoch": "1312848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364515200000",
    "number": "1902185952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2974 W 3500 S",
            "address_2": "SUITE 600",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841193630",
            "telephone_number": "801-849-0696",
            "fax_number": "801-542-0078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2974 W 3500 S",
            "address_2": "SUITE 600",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841193630",
            "telephone_number": "801-849-0696",
            "fax_number": "801-542-0078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASATCH REGIONAL HOSPICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-09",
        "last_updated": "2013-03-29",
        "status": "A",
        "authorized_official_last_name": "LARSEN",
        "authorized_official_first_name": "CURTIS",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-628-4575",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aegis Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community Based Hospice Care Agency in West Valley City, UT
• Providers in West Valley City, 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 Mar 29, 2013; 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.