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CARESOURCE HOSPICE AT HOME
NPI 1932656923
Hospice Care, Community Based in Park City, UT

Active since September 07, 2016
750 KEARNS BLVD # 200, PARK CITY, UT 84060(801) 266-7200(801) 266-7004 Get Directions Write a Review

NPPES record last updated: November 14, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 14, 2016, Oct 12, 2016 (2 updates tracked since 2016).

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Other Providers Same Location
  5. Frequently Asked Questions
  • Organization
  • Hospice Care, Community Based

About CARESOURCE HOSPICE AT HOME

This page provides the complete NPI Profile along with additional information for Caresource Hospice At Home, a provider established in Park City, Utah operating as a Hospice Care, Community Based. The healthcare provider is registered in the NPI registry with number 1932656923 assigned on September 2016. The practitioner's primary taxonomy code is 251G00000X with license number 2016 (UT). The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Caresource Hospice At Home. The authorized official of this NPI record is Shawntel Yates Tanner Ma, Chpca, Ssw, Phr (Administrator)

NPI
1932656923 Verify this NPI
Provider Legal Name
CARESOURCE CHARITABLE ASSOCIATION
Other Organization Name
CARESOURCE HOSPICE AT HOME
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
750 KEARNS BLVD # 200 PARK CITY, UT 84060
Location Phone
(801) 266-7200
Location Fax
(801) 266-7004
Mailing Address
750 KEARNS BLVD. #200 PO BOX 683593 PARK CITY, UT 84068
Mailing Phone
(801) 266-7200
Mailing Fax
(801) 266-7004
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-07-2016
Last Update Date
11-14-2016
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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

Hospice Care, Community Based

Taxonomy Code
251G00000X
Type
Agencies
License No.
2016
License State
UT

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

SHAWNTEL YATES TANNER MA, CHPCA, SSW, PHR

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

Reviews for CARESOURCE HOSPICE AT HOME

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

CARESOURCE L L C
Home Health
750 KEARNS BLVD # 200
PARK CITY, UT 84060
Summit County (801) 266-7200

Frequently Asked Questions

What is CARESOURCE CHARITABLE ASSOCIATION's NPI number?

The NPI number assigned to this healthcare provider is 1932656923, enumerated as an "organization" on September 07, 2016.

Where is the provider located?

The provider is located at 750 KEARNS BLVD # 200 PARK CITY, UT 84060 and the phone number is (801) 266-7200.

What is the provider's specialty?

Hospice Care, Community Based with taxonomy code 251G00000X.