HOSPICE ALLIANCE OF SOUTHERN UTAH, INC.
NPI 1609982107
Hospice Care, Community Based in St George, UT

NPI Status: Active since August 21, 2006

Contact Information

965 E 700 S
SUITE 201
ST GEORGE, UT
ZIP 84790
Phone: (435) 656-2889
Fax: (435) 656-2877

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  • Organization
  • Hospice Care, Community Based
  • CLIA Number: 46D2174293
  • CLIA Cert. Type: Hospice
  • CLIA Exp. Date: 10-28-2025

About HOSPICE ALLIANCE OF SOUTHERN UTAH, INC.

This page provides the complete NPI Profile along with additional information for Hospice Alliance Of Southern Utah, Inc., a provider established in St George, Utah operating as a Hospice Care, Community Based. The healthcare provider is registered in the NPI registry with number 1609982107 assigned on August 2006. The practitioner's primary taxonomy code is 251G00000X with license number 2006-HOSPICE-67900 (UT). The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is Mr. Justin Larsen (Owner/ceo)

NPI
1609982107
Provider Name
HOSPICE ALLIANCE OF SOUTHERN UTAH, INC.
Entity Type
Organization
Location Address
965 E 700 S SUITE 201 ST GEORGE, UT 84790
Location Phone
(435) 656-2889
Location Fax
(435) 656-2877
Mailing Address
965 S 100 W STE 204 LOGAN, UT 84321
Mailing Phone
(435) 753-0707
Mailing Fax
(435) 656-2877
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-21-2006
Last Update Date
11-08-2010
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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.
2006-HOSPICE-67900
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

MR. JUSTIN LARSEN

Authorized Official Title
OWNER/CEO
Authorized Official Phone
(435) 753-0707

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
461547MEDICARE ID-TYPE UNSPECIFIED (04)UTMEDICARE PROVIDER NUMBER

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
46D2174293
Facility Type
Hospice
Certificate Effective Date
October 29, 2023
Certificate Expiration Date
October 28, 2025
Laboratory Director
KATHY M. MARSDEN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Hospice Alliance Of Southern Utah, Inc. 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 HOSPICE ALLIANCE OF SOUTHERN UTAH, INC.

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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.
1609982107
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2609188410
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 0 + 9 + 1 + 8 + 8 + 4 + 1 + 0 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1609982107 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1891964169FRONTIER LEASING MANAGEMENT LLC
Organization
Home Health965 E 700 S SUITE 201
ST GEORGE, UT 84790
(435) 656-2889
1457686735FRONTIER LEASING MANAGEMENT LC
Organization
Home Health965 E 700 S #201
ST GEORGE, UT 84790
(435) 656-2889
1679686547DR. RYAN EARL ROBISON O.D.
Individual
Optometrist965 E 700 S SUITE #100
ST GEORGE, UT 84790
(435) 673-5577
1215478425SPENDLOVE ORTHODONTICS, PLLC
Organization
Dentist (Orthodontics and Dentofacial Orthopedics)965 E 700 S #101
ST GEORGE, UT 84790
(435) 688-8228

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609982107, enumerated in the NPI registry as an "organization" on August 21, 2006

The provider is located at 965 E 700 S Suite 201 St George, Ut 84790 and the phone number is (435) 656-2889

This medical organization specializes in 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 make sure your health plan is currently accepted.

The provider's CLIA number is 46D2174293 for a "hospice" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued 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..

This NPI record was last updated on August 21, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.