Organization Active NPI

Palliative Care for Utah LLC

  • In Home Supportive Care Agency
  • Murray, UT
National Provider Identifier
1932633997
Registry record updated Nov 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
PALLIATIVE CARE FOR UTAH LLC
Practice address
5097 S 900 E Ste 100
Murray, UT 84117-5725
Phone
(801) 576-1455
Fax
(801) 576-1472
NPI assigned
Apr 17, 2017
Last updated
Nov 6, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2018

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

Authorized official

Name
Richard Nebeker
Title
Administrator
Phone
(208) 524-0685

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

5097 S 900 E Ste 100
Murray, UT 84117-5725

Mailing address

5097 S 900 E Ste 100
Murray, UT 84117-5725
Phone (801) 576-1455

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1492387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541462400000",
    "number": "1932633997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5097 S 900 E STE 100",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841175725",
            "telephone_number": "801-576-1455",
            "fax_number": "801-576-1472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5097 S 900 E STE 100",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841175725",
            "telephone_number": "801-576-1455",
            "fax_number": "801-576-1472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALLIATIVE CARE FOR UTAH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-17",
        "last_updated": "2018-11-06",
        "status": "A",
        "authorized_official_last_name": "NEBEKER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "208-524-0685"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2018; 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.