EVERGREEN HOSPICE LLC
NPI 1518301902
Hospice Care, Community Based in Murray, UT
NPI Status: Active since April 29, 2013
Contact Information
5280 S COMMERCE DR
E160
MURRAY, UT
ZIP 84107
Phone: (801) 364-4250
Fax: (801) 994-1278
- Organization
- Hospice Care, Community Based
- Accepts Insurance
- CLIA Number: 46D2066428
- CLIA Cert. Type: Hospice
- CLIA Exp. Date: 04-05-2028
About EVERGREEN HOSPICE LLC
This page provides the complete NPI Profile along with additional information for Evergreen Hospice Llc, a provider established in Murray, Utah operating as a Hospice Care, Community Based. The healthcare provider is registered in the NPI registry with number 1518301902 assigned on April 2013. The practitioner's primary taxonomy code is 251G00000X with license number 2013-HOSPICE-UT00058 (UT). The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Mrs. Stephanie Bear (Office Manager)
- NPI
- 1518301902
- Provider Name
- EVERGREEN HOSPICE LLC
- Entity Type
- Organization
- Location Address
- 5280 S COMMERCE DR E160 MURRAY, UT 84107
- Location Phone
- (801) 364-4250
- Location Fax
- (801) 994-1278
- Mailing Address
- 5280 S COMMERCE DRIVE E160 E160 MURRAY, UT 84107
- Mailing Phone
- (801) 364-4250
- Mailing Fax
- (801) 994-1278
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-29-2013
- Last Update Date
- 02-24-2025
- 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.
- 2013-HOSPICE-UT00058
- License State
- UT
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) |
|---|---|---|---|---|
| 1 | 251G00000X | Agencies | Hospice Care, Community Based |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Molina Gold Core 1640 - HMO
- Molina Gold Core 1640 Plus with Adult Dental and Vision - HMO
- Molina Gold Standard - HMO
- Molina Silver Core - HMO
- Molina Silver Core Plus with Adult Dental and Vision - HMO
- Molina Silver Core Plus with Adult Vision - HMO
- Molina Silver Saver with Four Free PCP Visits - HMO
- Molina Silver Standard - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 46D2066428
- Facility Type
- Hospice
- Certificate Effective Date
- April 06, 2026
- Certificate Expiration Date
- April 05, 2028
- Laboratory Director
- JAMIE ALLEN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Evergreen Hospice Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for EVERGREEN HOSPICE LLC
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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 1518301902, we treat the final digit (2) 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 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 58 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1518301902, enumerated as an "organization" on April 29, 2013.
The provider is located at 5280 S COMMERCE DR E160 MURRAY, UT 84107 and the phone number is (801) 364-4250.
Hospice Care, Community Based with taxonomy code 251G00000X.
The provider might be accepting Accepts: Molina Healthcare. Please consult your insurance carrier or call the provider to verify.
