Provider Demographics
NPI:1609819440
Name:INSPIRATION HOSPICE LLC
Entity type:Organization
Organization Name:INSPIRATION HOSPICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:BRET
Authorized Official - Middle Name:A
Authorized Official - Last Name:CLOWARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-281-1314
Mailing Address - Street 1:835 E 4800 S
Mailing Address - Street 2:SUITE 110
Mailing Address - City:MURRAY
Mailing Address - State:UT
Mailing Address - Zip Code:84107-5040
Mailing Address - Country:US
Mailing Address - Phone:801-281-1314
Mailing Address - Fax:801-281-1450
Practice Address - Street 1:835 E 4800 S
Practice Address - Street 2:SUITE 110
Practice Address - City:MURRAY
Practice Address - State:UT
Practice Address - Zip Code:84107-5040
Practice Address - Country:US
Practice Address - Phone:801-281-1314
Practice Address - Fax:801-281-1450
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT5541439-0160251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT=========001Medicaid
UT=========001Medicaid