CARESOURCE HOSPICE
NPI 1235353236
Hospice Care, Community Based 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

Get Directions Write a Review

  • Organization
  • Hospice Care, Community Based

About CARESOURCE HOSPICE

This page provides the complete NPI Profile along with additional information for Caresource Hospice, a provider established in Salt Lake City, Utah operating as a Hospice Care, Community Based. The healthcare provider is registered in the NPI registry with number 1235353236 assigned on April 2007. The practitioner's primary taxonomy code is 251G00000X with license number 2006-HOSPICE-30731 (UT). The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's other name is Caresource Hospice. The authorized official of this NPI record is Mrs. Shawntel Tanner Ma (Administrator)

NPI
1235353236
Provider Legal Name
CARESOURCE LLC
Other Organization Name
CARESOURCE HOSPICE
Other Name Type
Other Name (5)
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
03-16-2012
Code Navigator

Location Map

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

Hospice Care, Community Based

Taxonomy Code
251G00000X
Type
Agencies
License No.
2006-HOSPICE-30731
License State
UT

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
461517MEDICARE ID-TYPE UNSPECIFIED (04)UTMEDICARE PROVIDER NUMBER
=========029MEDICAID (05)UT 

Reviews for CARESOURCE HOSPICE

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1235353236
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
226565626
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 6 + 5 + 6 + 5 + 6 + 2 + 6 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1235353236 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


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

STEPHEN B SMITH MD

Internal Medicine

(Hospice and Palliative Medicine)

1624 E 4500 S
HOLLADAY, UT
ZIP 84117

(801) 266-7200

CARESOURCE

Skilled Nursing Facility

1624 E 4500 S
SALT LAKE CITY, UT
ZIP 84117

(801) 266-7200

LODGE BY VALEO, LLC

Hospice, Inpatient

1624 E 4500 S
SALT LAKE CITY, UT
ZIP 84117

(801) 639-0020

CARESOURCE

Family Medicine

1624 E 4500 S
SALT LAKE CITY, UT
ZIP 84117

(801) 266-7200

MR. YANNI B GALLAGHER AMFT

Marriage & Family Therapist

1624 E 4500 S
MILLCREEK, UT
ZIP 84117

(855) 701-2721

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235353236, 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.

Hospice Care, Community Based with taxonomy code 251G00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.