GOOD SHEPHERD HOME CARE AND HOSPICE OF EASTERN UTAH, INC. (NPI# 1669557864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669557864 |
| Entity Type | Organization |
| Organization Name | GOOD SHEPHERD HOME CARE AND HOSPICE OF EASTERN UTAH, INC. |
| Practice Address |
266 W 100 N Ste 2 Vernal UT 84078-2012 |
| Mailing Address |
5383 S 900 E Ste 102 Salt Lake City UT 84117-7249 |
| Practice Telephone | 8012776474 |
| Mailing Telephone | 8012776474 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2014-05-16 |
| Authorized Official Name | MRS. KELLY J ANDERSON (ADMINISTRATOR) |
| Authorized Official Telephone | 8012776474 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | 2006-HOSPICE-728 | UT | Agencies |
| Street Address |
266 W 100 N STE 2 |
| City | VERNAL |
| State | UT |
| Zip Code | 84078-2012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740373125 | Laura Lynn Mahler | Nurse Practitioner | 266 W 100 N, Suite 6, Vernal, UT 84078-2012 | 2006-09-30 |
| 1972775898 | Applegate Homecare & Hospice, LLC | Hospice Care, Community Based | 266 W 100 N, Vernal, UT 84078-2012 | 2008-03-31 |
| 1184820854 | Good Shepherd Homecare and Hospice of Eastern Utah, Inc. | Home Health | 266 W 100 N, Ste 2, Vernal, UT 84078 | 2007-06-21 |
| 1922192913 | Valley Family Clinic Inc | Clinic/Center | 266 W 100 N, Suite 6, Vernal, UT 84078-2012 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205479748 | Wade Oliver Moulton | Pharmacist | 1080 W Hwy 40, Vernal, UT 84078 | 2019-10-28 |
| 1841610383 | Allegiance Addiction Recovery Center | Substance Abuse Rehabilitation Facility | 4430 N Little Valley Road, Vernal, UT 84078 | 2014-04-23 |
| 1689008773 | Ashley Valley Physician Practice, LLC | Occupational Therapist | 1680 W Highway 40 Ste 202, Vernal, UT 84078 | 2013-08-26 |
| 1528371796 | Terry L Smith | Counselor | 1140 W 500 S #9, Vernal, UT 84078 | 2010-07-16 |
| 1619280880 | Cicile M Rios | Counselor | 1140 W 800 S #9, Vernal, UT 84078 | 2010-07-16 |
| 1265754840 | Marjorie Elaine Gardner | Licensed Practical Nurse | 133 S 500 East, Vernal, UT 84078 | 2010-02-23 |
| 1528205853 | Robert Kirkham Jolley | Dentist | 40 West 100 North, Vernal, UT 84078 | 2009-01-08 |
| 1740482025 | Ashley Valley Physician Practice, LLC | Family Medicine | 175 N. 100 W., Suite 202, Vernal, UT 84078 | 2007-05-31 |
| 1265646459 | Ashley Valley Medical Center | Pharmacy | 151 W. 200 N., Vernal, UT 84078 | 2007-05-09 |
| 1629122692 | Brian Prentice Callahan | Dentist | 779 West Us Highway 40, Vernal, UT 84078 | 2007-01-23 |
| Find all providers in zip 84078 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972775898 | Applegate Homecare & Hospice, LLC | Hospice Care, Community Based | 266 W 100 N, Vernal, UT 84078-2012 | 2008-03-31 |
| 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.