OrganizationActive
Caresource LLC
NPI 1235353236 · Community Based Hospice Care Agency · Salt Lake City, UT
Provider details
- NPI number
- 1235353236
- Entity type
- Organization
- Primary specialty
- Community Based Hospice Care AgencyAgencies
- Organization subpart
- No
- Authorized official
- Shawntel Tanner, Administrator(801) 266-7200
- License
- 2006-HOSPICE-30731 (UT)
Specialties & taxonomies
Agencies
Practice location
1624 E 4500 S
Salt Lake City, UT 84117-4212
Phone: (801) 266-7200
Fax: (801) 266-7004
Approximate (ZIP-level) locationGet directions
Mailing address
1624 E 4500 S
Salt Lake City, UT 84117-4212
Other names (DBA / former)
- Other name
- Caresource Hospice
Registry dates
- Enumerated
- 2007-04-12
- Last updated
- 2012-03-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.