NPIMap

Organization Active NPI

Community Nursing Service

  • Community Based Hospice Care Agency
  • Price, UT
National Provider Identifier
1902855083
Registry record updated Sep 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
2015-HOSPICE-416 Issued in UT
Legal business name
COMMUNITY NURSING SERVICE
Practice address
480 S Carbon Ave
Price, UT 84501-3227
Phone
(435) 613-8887
Fax
(435) 613-8890
NPI assigned
May 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2015

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

Authorized official

Name
Mr. Brent D Jones
Title
President & Ceo
Phone
(801) 233-6100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 2015-HOSPICE-416 UT Primary

Addresses

Primary practice location

480 S Carbon Ave
Price, UT 84501-3227

Mailing address

2830 S Redwood Rd
Suite a
West Valley City, UT 84119-5625
Phone (801) 233-6100

Other names 1

  • CNS COMMUNITY HOSPICE, CNS HOSPICE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050504000529 UT Part A Provider - Hospice 9234036674 Practice locations: Moab, UT; Price, UT

Hospice certification: CCN 461557

Legal name
COMMUNITY NURSING SERVICE
Doing business as
CNS COMMUNITY HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Dec 20, 2005
Last certification
Nov 19, 2019
Ownership / control type
Non-Profit - Other
Organization structure
CorporationNon-profit
Incorporated
Dec 29, 1994 in UT
Enrollment address
480S Carbon Ave
Price, UT 84501-3227

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospice

Medicare Care Compare
Listed as
CNS Community Hospice - PriceCCN 461557
Ownership
Non-Profit
Certified
Dec 20, 2005
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Community Nursing Service5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

480 S Carbon Ave
Price, UT 84501
Phone (435) 613-8887

Ownership & related parties

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.

NameRoleSinceShare
Florence Marie Miller Individual Corporate DirectorBoard of Trustees May 1, 2012
David Gessel Individual Corporate DirectorChairman of the Board Apr 1, 2017
David Mathis Thayn Individual Contracted Managing EmployeeMD; Feb 25, 2026
Jaimi Ostergar Individual W-2 Managing EmployeeVice President Apr 16, 2011
Steven Leroy Love Individual Corporate OfficerSenior VP Apr 1, 2011
W-2 Managing EmployeeSenior VP Apr 1, 2011
Cherie Pratt Brunker Individual Corporate DirectorBoard of Trustees May 1, 2011
Charity Kiahtipes Individual W-2 Managing EmployeeArea Manager Jul 8, 2008 100%
Joel Macey Individual Corporate OfficerCeo May 22, 2023 100%
Corporate DirectorDirector May 23, 2023 100%
Lisa L Okelberry Individual Corporate DirectorDirector Apr 1, 2017
Camille Trujillo Individual W-2 Managing EmployeeArea Manager Oct 1, 2015 100%
Joshua Love Individual W-2 Managing EmployeePharmacy Director Jul 2, 2007

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 4

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

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442880000000",
    "number": "1902855083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2830 S REDWOOD RD",
            "address_2": "SUITE A",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841195625",
            "telephone_number": "801-233-6100",
            "fax_number": "801-233-6110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 S CARBON AVE",
            "city": "PRICE",
            "state": "UT",
            "postal_code": "845013227",
            "telephone_number": "435-613-8887",
            "fax_number": "435-613-8890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY NURSING SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2015-09-22",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "801-233-6100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "UT",
            "license": "2015-HOSPICE-416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CNS COMMUNITY HOSPICE, CNS HOSPICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Price, UT

Sources for this page

Verify at the official NPI Registry.