CARESOURCE CHARITABLE ASSOCIATION (NPI# 1932656923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932656923 |
| Entity Type | Organization |
| Organization Name | CARESOURCE CHARITABLE ASSOCIATION |
| Other Organization Name | CARESOURCE HOSPICE AT HOME |
| Practice Address |
750 Kearns Blvd # 200 Park City UT 84060-5137 |
| Mailing Address |
750 Kearns Blvd. #200 Po Box 683593 Park City UT 84068-3593 |
| Practice Telephone | 8012667200 |
| Practice Fax Number | 8012667004 |
| Mailing Telephone | 8012667200 |
| Mailing Fax Number | 8012667004 |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2016-11-14 |
| Authorized Official Name | SHAWNTEL YATES TANNER (ADMINISTRATOR) |
| Authorized Official Telephone | 8012667200 |
| Authorized Official Credential | MA, CHPCA, SSW, |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | 2016 | UT | Agencies |
| Other Name | Type Code |
|---|---|
| CareSource Hospice at Home | Doing Business As Name - Organization |
| Street Address |
750 KEARNS BLVD # 200 |
| City | PARK CITY |
| State | UT |
| Zip Code | 84060-5137 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497979413 | Caresource L L C | Home Health | 750 Kearns Blvd # 200, Park City, UT 84060-5137 | 2007-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982233920 | Livecare, Inc. | Nursing Care | 1830 Prospector Avenue, Park City, UT 84060 | 2020-04-02 |
| 1063904266 | Louise Knetzger Gallagher | Acupuncturist | 1107 Woodside Ave, Park City, UT 84060 | 2018-06-04 |
| 1942753421 | Valerie Alison Mey | Dietitian, Registered | 2985 Arabian Dr, Park City, UT 84060 | 2016-08-01 |
| 1659720936 | Vibrant Health PC | Anesthesiology | 1910 Prospector Ave Suite 302, Park City, UT 84060 | 2016-06-08 |
| 1538538657 | Pamela Hilbert | Dentist | 1830 Prospector Ave., Park City, UT 84060 | 2015-09-18 |
| 1174904924 | Julie Anna Bullen | Counselor | 2300 Monitor Drive, Park City, UT 84060 | 2015-06-17 |
| 1265825319 | William Gary Smith | Obstetrics & Gynecology | 2501 Creek Drive, Park City, UT 84060 | 2015-03-13 |
| 1497026330 | Earl Warren Stadler Jr. | Physical Medicine & Rehabilitation | 1500 Three Kings Drive Unit 31, Park City, UT 84060 | 2012-01-24 |
| 1538454541 | Belinda Duncan | Pharmacist | 2700 E Deer Valley Dr B105, Park City, UT 84060 | 2011-06-17 |
| 1184888315 | Cody Michael Calderwood | Dentist | 1600 Snow Creek Dr Ste A, Park City, UT 84060 | 2008-07-16 |
| Find all providers in zip 84060 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346657954 | Yarrow Hospice, Inc. | Hospice Care, Community Based | 120 Parkview Ter, Park City, UT 84098-5106 | 2014-07-15 |
| 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 |
| 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.