BRISTOL HOSPICE - UTAH II, L.L.C. (NPI# 1619253606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619253606 |
| Entity Type | Organization |
| Organization Name | BRISTOL HOSPICE - UTAH II, L.L.C. |
| Practice Address |
1106 E 6600 S Ste 100 Murray UT 84121-2446 |
| Mailing Address |
206 N 2100 W Ste 202 Salt Lake City UT 84116-4741 |
| Practice Telephone | 8019305266 |
| Practice Fax Number | 8019305272 |
| Mailing Telephone | 8013250175 |
| Enumeration Date | 2011-10-23 |
| Last Update Date | 2020-06-26 |
| Authorized Official Name | GERRY NORMAN CHRISTENSEN (EXEC VP/CFO) |
| Authorized Official Telephone | 8014330932 |
| Is Organization Subpart | Y |
| Parent Organization Name | BRISTOL HOSPICE, L.L.C. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | 1619253606 | 05 |
| Street Address |
1106 E 6600 S STE 100 |
| City | MURRAY |
| State | UT |
| Zip Code | 84121-2446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407483522 | Kaitlyn Horne | Behavior Technician | 6910 S. Highland Drive, Cottonwood Heights, UT 84121 | 2020-03-26 |
| 1952936387 | Jared Wells | Behavior Technician | 6910 S Highland Drive, Cottonwood Heights, UT 84121 | 2020-03-05 |
| 1518591874 | Slc Plastic Surgery LLC | Plastic Surgery | 6686 Highland Drive, Cottonwood Heights, UT 84121 | 2020-02-26 |
| 1093273708 | Anna O'hearon | Counselor | New Roads Behavioral Health, 2450 Fort Union Blvd, Cottonwood Heights, UT 84121 | 2019-03-12 |
| 1053883181 | Charles Keller IIi | Pediatrics | 2198 S Yvonne Rd #344, Salt Lake City, UT 84121 | 2018-12-31 |
| 1669964516 | Marissa King | Specialist | 1141 E. 3900 S. Suite 150a, Salt Lake, UT 84121 | 2018-06-05 |
| 1376044313 | Slpd Cottonwood LLC | Dentist | 7167 South Highland Drive, 200, Cottonwood Heights, UT 84121 | 2018-02-26 |
| 1700315462 | Nelson & Tillmann Family Dentistry, PC | Dentist | 5872 S. 900 E. Ste 202, Salt Lake City, UT 84121 | 2017-06-07 |
| 1912430588 | Wasatch Midwifery and Wellness, LLC | Dietitian, Registered | 6440 S Wasatch Blvd, Ste 140, Holladay, UT 84121 | 2017-04-10 |
| 1407308331 | Tina Polgar | Registered Nurse | 6244 Highland Drive, Murray, UT 84121 | 2016-10-26 |
| Find all providers in zip 84121 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295380376 | Sierra Hospice Slc, LLC | Hospice Care, Community Based | 5411 S Vine St Unit 5a, Murray, UT 84107-7756 | 2019-08-06 |
| 1245787191 | Murray Calloway Public Hospital Corporation | Hospice Care, Community Based | 1959 State Route 94 W, Murray, KY 42071-4748 | 2016-09-08 |
| 1053780825 | Rocky Mountain Home Care and Hospice Wyoming, LLC | Hospice Care, Community Based | 5242 S College Dr, Suite 340, Murray, UT 84123-2653 | 2015-09-22 |
| 1619142791 | Eclipse Hospice Care Inc | Hospice Care, Community Based | 5242 College Drive, #370, Murray, UT 84123-2653 | 2008-04-29 |
| 1629025192 | Harmony Home Health Services, LLC | Hospice Care, Community Based | 5650 Green St, Murray, UT 84123-5796 | 2006-05-28 |
| 1366496846 | Superior Home Care, Inc | Hospice Care, Community Based | 184 E 5900 S, Murray, UT 84107-7230 | 2006-05-20 |
| 1013900661 | Hospice for Utah Inc. | Hospice Care, Community Based | 5097 S 900 E Ste 100, Murray, UT 84117-5725 | 2005-08-30 |
| 1649277955 | Vali Division of Wasatch, Inc | Hospice Care, Community Based | 5242 S College Dr Ste 150, Murray, UT 84123-2755 | 2005-06-30 |
| 1689676892 | Haven Associates Inc | Hospice Care, Community Based | 5292 College Dr, Ste 304, Murray, UT 84123-2960 | 2005-06-01 |
| 1760915623 | Ahc Home Health Care of Murray LLC | Hospice Care, Community Based | 5323 S Murray Blvd, Murray, UT 84123-6973 | 2017-04-07 |
| Find all providers in MURRAY | ||||
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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.