Inspiration Hospice LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

INSPIRATION HOSPICE LLC

Practice address

1649 E 1400 S Ste 140
Clearfield, UT 84015-2483

Phone

(801) 281-1314

Fax

(801) 281-0888

NPI assigned

Mar 23, 2011

Last updated

May 17, 2021By 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

Jay Ryan Wren

Title

Ceo

Phone

(801) 281-1314

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 1912206459. Details of each certification follow.

• CCN 461591 Hospice · Active · Details

Hospice certification: CCN 461591

Legal name

INSPIRATION HOSPICE LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Dec 29, 2011

Last certification

Jan 7, 2021

Ownership / control type

Proprietary - Partnership

Organization structure

LLCProprietary

Incorporated

Nov 1, 2010 in UT

Enrollment address

1649 E 1400 S
Ste 140
Clearfield, UT 84015-2483

Listed as

Inspiration Hospice, LLCCCN 461591 · All quality measures

Ownership

For-Profit

Certified

Dec 29, 2011

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Inspiration Home Healthllc

  • Home Health Agency
  • Clearfield, UT
  • NPI 1457496275

  Member Of

  NPD member

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

• Inspiration Home Health LLC

  • Home Health Agency
  • Murray, UT
  • NPI 1134417181

  Member Of

  NPD member
• Inspiration Hospice LLC

  • Community Based Hospice Care Agency
  • Murray, UT
  • NPI 1609819440

  Member Of

  NPD member

Locations

All disclosed owners & managing parties 6

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

Owners & managing parties with NPI records 2

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

• Justin W Mansfield, M.D.

  • Internal Medicine Physician
  • Ogden, UT
  • NPI 1699707059

  Contracted Managing Employee

  CMS ownership
• James G Rowley, PA-C

  • Physician Assistant
  • Murray, UT
  • NPI 1710098058

  5% Or Greater Direct Ownership Interest

  CMS ownership

Affiliated clinicians 1

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

• Justin W Mansfield, M.D.

  • Internal Medicine Physician
  • Ogden, UT
  • NPI 1699707059

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1300838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621209600000",
    "number": "1912206459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1649 E 1400 S STE 140",
            "city": "CLEARFIELD",
            "state": "UT",
            "postal_code": "840152483",
            "telephone_number": "801-281-1314",
            "fax_number": "801-281-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1649 E 1400 S STE 140",
            "city": "CLEARFIELD",
            "state": "UT",
            "postal_code": "840152483",
            "telephone_number": "801-281-1314",
            "fax_number": "801-281-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSPIRATION HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-23",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A",
        "authorized_official_last_name": "WREN",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "801-281-1314"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Bryan Hull, D.C.
• I Connections Support Coordination
• Ihc Health Services Inc (Lifetime)
• Innerbloom Therapy LLC
• Inspiration Home Healthllc
• Inspiration Personal Care
• Intelligent Children Underrated LLC
• Ron Jackson
• Tre Nicholas James
• Keianu Jameson

• Community Based Hospice Care Agency in Clearfield, UT
• Providers in Clearfield, 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 May 17, 2021; 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.