NORTHWEST HOSPICE, LLC (NPI# 1912399197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912399197 |
Entity Type | Organization |
Organization Name | NORTHWEST HOSPICE, LLC |
Practice Address |
12272 S 800 E Suite B Draper UT 84020-9789 |
Mailing Address |
25117 Sw Parkway Ave Suite F Wilsonville OR 97070-9697 |
Practice Telephone | 8014953090 |
Enumeration Date | 2015-02-25 |
Last Update Date | 2015-02-25 |
Authorized Official Name | ROBERT THOMAS (PRESIDENT) |
Authorized Official Telephone | 5037832473 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251G00000X | Hospice Care, Community Based | Agencies |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952793820 | Northwest Hospice, LLC | Hospice Care, Community Based | 625 S Washington Street, Suite B, Afton, WY 83110 | 2015-03-02 |
1669893665 | Northwest Hospice, LLC | Hospice Care, Community Based | 570 S Maine St, Fallon, NV 89406-3343 | 2013-12-18 |
1639561814 | Northwest Hospice, LLC | Hospice Care, Community Based | 74 W 100 N, Logan, UT 84321-4506 | 2015-02-25 |
1881086056 | Northwest Hospice, LLC | Hospice Care, Community Based | 240 W Burnside Ave, Suite B, Chubbuck, ID 83202-4702 | 2015-02-25 |
1194115972 | Northwest Hospice, LLC | Hospice Care, Community Based | 5965 S 900 E Ste 200, Murray, UT 84121-1854 | 2015-01-30 |
1033530035 | Northwest Hospice, LLC | Hospice Care, Community Based | 2480 Highway 52, Payette, ID 83661-5536 | 2013-12-18 |
1548503477 | Northwest Hospice, LLC | Hospice Care, Community Based | 834 S Front St, Central Point, OR 97502-2726 | 2013-03-28 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Oregon Corporations, Companies and Business Names | NORTHWEST HOSPICE, LLC | 25117 Sw Parkway Ste F, Wilsonville, OR 97070 |
Street Address |
12272 S 800 E SUITE B |
City | DRAPER |
State | UT |
Zip Code | 84020-9789 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861413742 | Renee Nilsson Scheidell | Internal Medicine | 12272 S 800 E, Suite 100, Draper, UT 84020-9789 | 2006-07-23 |
1104218387 | Avamere Home Health Care, LLC | Home Health | 12272 S 800 E, Suite B, Draper, UT 84020-9789 | 2015-02-25 |
1972948776 | John Cheney | Chiropractor | 12272 S 800 E, Suite C, Draper, UT 84020-9789 | 2013-05-07 |
1083059885 | Eric Mcentire | Chiropractor | 12272 S 800 E, Suite C, Draper, UT 84020-9789 | 2013-05-07 |
1518243187 | Canessa Craigo Leeflang | Nurse Practitioner | 12272 S 800 E, Ste A, Draper, UT 84020-9789 | 2011-10-27 |
1447446182 | Donna R Melton | Optometrist | 12272 S 800 E, Ste 100, Draper, UT 84020-9789 | 2007-09-17 |
1104978873 | Carlie Jo Hamilton | Nurse Practitioner | 12272 S 800 E, Suite A, Draper, UT 84020-9789 | 2007-01-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194322776 | Chase Larsen Dmd Pllc | Dentist | 723 E 12200 S, Draper, UT 84020 | 2020-10-06 |
1780222380 | Derek Cragun | Counselor | 11706 700 E, Draper, UT 84020 | 2019-12-13 |
1720629371 | Own My Health Medical | Clinic/Center | 12371 900 E, Suite 102, Draper, UT 84020 | 2019-10-04 |
1508418856 | Thomas Mifflin | Physician Assistant | 721 East 12200 South, Draper, UT 84020 | 2019-07-16 |
1124670872 | Necia Dalley | Registered Nurse | 11800 S State St, Draper, UT 84020 | 2019-07-12 |
1285100784 | Tracey M Williams | Psychologist | 13200 S 1601 E, Draper, UT 84020 | 2018-10-23 |
1275008328 | Amoni Paeahelotu Finau | Community Health Worker | 13703 Wheatfield Way, Draper, UT 84020 | 2018-10-04 |
1891275525 | Cynthia Mae Bolton | Psychologist | 1192 E Draper Parkway # 447, Draper, UT 84020 | 2018-08-21 |
1164908026 | Headin' Home Inc. | Community/Behavioral Health | 12300 S. 150 W., Draper, UT 84020 | 2018-07-13 |
1366932576 | Forest Hulet | Dentist | 219 E 12300, Ste I-5, Draper, UT 84020 | 2018-05-14 |
Find all providers in zip 84020 |
Taxonomy Code | 251G00000X |
Grouping | Agencies |
Classification | Hospice Care, Community Based |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558750067 | Ashby Hospice LLC | Hospice Care, Community Based | 12401 S 450 E, Suite F2, Draper, UT 84020-8155 | 2015-01-21 |
1942757174 | One Care Home Health & Hospice - Utah, LLC. | Hospice Care, Community Based | 11576 S State St, Suite 101a, Draper, UT 84020-6431 | 2016-09-06 |
1538447305 | Cilantro Holdings, LLC | Hospice Care, Community Based | 11576 S State St, Ste 101a, Draper, UT 84020-6431 | 2011-07-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
1295350460 | Bear River Healthcare LLC | Hospice Care, Community Based | 1153 N Main St Ste B100110, Logan, UT 84341-2495 | 2020-06-12 |
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 |
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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.