HOSPICE ALLIANCE OF UTAH, LLC (NPI# 1124133855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124133855 |
| Entity Type | Organization |
| Organization Name | HOSPICE ALLIANCE OF UTAH, LLC |
| Practice Address |
965 S 100 W Suite 204 Logan UT 84321-6062 |
| Practice Telephone | 4357530707 |
| Practice Fax Number | 4357558505 |
| Mailing Telephone | 4357530707 |
| Mailing Fax Number | 4357558505 |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JUSTIN LARSEN (OWNER/CEO) |
| Authorized Official Telephone | 4357530707 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | UT | Agencies |
| Street Address |
965 S 100 W SUITE 204 |
| City | LOGAN |
| State | UT |
| Zip Code | 84321-6062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003853672 | Alliance Home Health of Northern Utah, LLC | Home Health | 965 S 100 W, Ste. 204, Logan, UT 84321-6062 | 2006-06-01 |
| 1487895983 | Joseph Anderson, D.c., Pllc | Health Maintenance Organization | 965 S 100 W, Suite 105, Logan, UT 84321-6062 | 2009-03-12 |
| 1497922835 | Steven D Fisher | Chiropractor | 965 S 100 W, Ste 105, Logan, UT 84321-6062 | 2008-05-14 |
| 1184816522 | Advanced Spine & Health Center | Chiropractor | 965 S 100 W, Ste. 105, Logan, UT 84321-6062 | 2007-08-09 |
| 1114128022 | Tim B Belnap | Dentist | 965 S 100 W, Suite 100, Logan, UT 84321-6062 | 2007-05-29 |
| 1467582155 | Norma Jean Peck | Social Worker | 965 S 100 W, Suite 203, Logan, UT 84321-6062 | 2007-03-06 |
| 1093881799 | Jeannine Deborah Nielson | Counselor | 965 S 100 W, Suite 203, Logan, UT 84321-6062 | 2006-11-27 |
| 1568558468 | Jeremy W Ellis | Dentist | 965 S 100 W, #102, Logan, UT 84321-6062 | 2006-10-05 |
| 1265547699 | Laurel Carter | Counselor | 965 S 100 W, #203, Logan, UT 84321-6062 | 2006-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265074157 | Grant E Severe | Pharmacist | 175 E 442 N, Logan, UT 84321 | 2019-10-11 |
| 1437712585 | Gregory Scott Hansen | Pharmacist | 412 East 200 North, Logan, UT 84321 | 2019-04-15 |
| 1043701584 | Mckell Peidl | Behavior Technician | 240 E 400 N Apt 8, Logan, UT 84321 | 2018-05-21 |
| 1801331194 | Eric Dutson | Speech-Language Pathologist | 964 W 2880 S, Nibley, UT 84321 | 2016-12-22 |
| 1063805299 | Krystal Cox | Marriage & Family Therapist | 493 North 700 East, Logan, UT 84321 | 2015-03-12 |
| 1013340801 | Carly D. L. Lebaron | Marriage & Family Therapist | 95 W. 100 S., Suite 360, Logan, UT 84321 | 2013-08-15 |
| 1669710471 | Brandon Bailey | Counselor | 1465 N. 300 W., Ste. A, Brigham, UT 84321 | 2013-01-29 |
| 1871843086 | Brandi Lee Richins | Social Worker | 90 E. 200 N., Logan, UT 84321 | 2012-09-14 |
| 1922356732 | Stacy Lynn Hamilton Jones | Marriage & Family Therapist | 60 East Center Street, Suite 205, Keystone Family Solutions, Logan, UT 84321 | 2012-08-28 |
| 1992002455 | Robert Thomas Allred | Chiropractor | 944 South Highway 89/91, Logan, UT 84321 | 2011-02-18 |
| Find all providers in zip 84321 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295350460 | Bear River Healthcare LLC | Hospice Care, Community Based | 1153 N Main St Ste B100110, Logan, UT 84341-2495 | 2020-06-12 |
| 1245305689 | Ihc Health Services Inc | Hospice Care, Community Based | 550 E 1400 N Ste G, Logan, UT 84341-2450 | 2006-11-21 |
| 1376578708 | Access Hospice Care LLC | Hospice Care, Community Based | 74 W 100 N, Logan, UT 84321-4506 | 2006-07-12 |
| 1639561814 | Northwest Hospice, LLC | Hospice Care, Community Based | 74 W 100 N, Logan, UT 84321-4506 | 2015-02-25 |
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|---|---|---|---|---|
| 1649885781 | Signature Hospice St.george, LLC | Hospice Care, Community Based | 1525 East Ovation Place, Ste 2010, Washington, UT 84780 | 2020-09-15 |
| 1922618636 | Affinity Care | Hospice Care, Community Based | 437 S Bluff St Ste 301, St George, UT 84770-3591 | 2020-08-06 |
| 1114566429 | Suncrest Hospice Austin LLC | Hospice Care, Community Based | 1275 E Fort Union Blvd Ste 120, Cottonwood Heights, UT 84047-1846 | 2020-01-03 |
| 1912540683 | Lumicare Health Ut1 LLC | Hospice Care, Community Based | 2242 E Suada Dr, Holladay, UT 84124-1852 | 2019-10-24 |
| 1295380376 | Sierra Hospice Slc, LLC | Hospice Care, Community Based | 5411 S Vine St Unit 5a, Murray, UT 84107-7756 | 2019-08-06 |
| 1689239873 | Summit St George, LLC | Hospice Care, Community Based | 1675 W Red Cloud Dr, St George, UT 84770-7378 | 2019-05-03 |
| 1275091498 | Sierra Hospice, LLC | Hospice Care, Community Based | 1173 S 250 W Ste 507a, St George, UT 84770-6392 | 2019-03-06 |
| 1023572971 | Suncrest Hospice Utah LLC | Hospice Care, Community Based | 1275 E Fort Union Blvd Ste 210, Midvale, UT 84047-1885 | 2019-01-24 |
| 1053882506 | Aim Health Management | Hospice Care, Community Based | 3818 W 5400 S, Taylorsville, UT 84129-3561 | 2018-12-10 |
| 1639648959 | Pathway Hospice and Palliative Care, Inc. | Hospice Care, Community Based | 446 S Mall Dr Ste 206, St George, UT 84790-4944 | 2018-11-15 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.