CARESOURCE
NPI 1124242128
Family Medicine - Hospice and Palliative Medicine in Salt Lake City, UT

NPI Status: Active since April 12, 2007

Contact Information

1624 E 4500 S
SALT LAKE CITY, UT
ZIP 84117
Phone: (801) 266-7200
Fax: (801) 266-7004

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  • Organization
  • Family Medicine
  • Hospice and Palliative Medicine

About CARESOURCE

This page provides the complete NPI Profile along with additional information for Caresource, a provider established in Salt Lake City, Utah operating as a Family Medicine, focusing in hospice and palliative medicine . The healthcare provider is registered in the NPI registry with number 1124242128 assigned on April 2007. The practitioner's primary taxonomy code is 207QH0002X with license number 5221090-1205 (UT). The provider is registered as an organization and their NPI record was last updated one year ago. Caresource operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's . The authorized official of this NPI record is Mrs. Shawntel Tanner Ma (Administrator)

NPI
1124242128
Provider Legal Name
CARESOURCE
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
1624 E 4500 S SALT LAKE CITY, UT 84117
Location Phone
(801) 266-7200
Location Fax
(801) 266-7004
Mailing Address
1624 E 4500 S SALT LAKE CITY, UT 84117
Mailing Phone
(801) 266-7200
Mailing Fax
(801) 266-7004
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-12-2007
Last Update Date
09-11-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine Hospice and Palliative Medicine

Taxonomy Code
207QH0002X
Type
Allopathic & Osteopathic Physicians
License No.
5221090-1205
License State
UT
Taxonomy Description
A family medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

5221090-1205 (UT)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. SHAWNTEL TANNER MA

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(801) 266-7200

Reviews for CARESOURCE

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1124242128, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
2
Doubled → 4
Pos 4
4
Unchanged
Pos 5
2
Doubled → 4
Pos 6
4
Unchanged
Pos 7
2
Doubled → 4
Pos 8
1
Unchanged
Pos 9
2
Doubled → 4
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 2 → 4 2 → 4 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 4 + 4 + 4 + 4 + 4 + 1 + 4 + 24 = 52

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 52 is 60. The difference is the calculated check digit.

60 - 52 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1124242128.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Internal Medicine (Hospice and Palliative Medicine)
1624 E 4500 S
HOLLADAY, UT 84117
Hospice Care, Community Based
1624 E 4500 S
SALT LAKE CITY, UT 84117
Skilled Nursing Facility
1624 E 4500 S
SALT LAKE CITY, UT 84117
Hospice, Inpatient
1624 E 4500 S
SALT LAKE CITY, UT 84117
Marriage & Family Therapist
1624 E 4500 S
MILLCREEK, UT 84117

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124242128, enumerated as an "organization" on April 12, 2007.

The provider is located at 1624 E 4500 S SALT LAKE CITY, UT 84117 and the phone number is (801) 266-7200.

Family Medicine with taxonomy code 207QH0002X and a focus in Hospice and Palliative Medicine.