Canyon Hospice – Community Based Hospice Care Agency, NPI 1154665651
Community Based Hospice Care Agency
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Canyon Hospice
450 S 900 E STE 100
SALT LAKE CITY, UT 841022983
Phone: (801) 485-6166
Fax: (801) 531-1949
Type: Mailing
302 W 5400 S STE 200
MURRAY, UT 841078230
Phone: (385) 297-9500
Fax: (801) 307-4674
Type: Location
5926 Fashion Point Dr Ste 200
South Ogden, UT 844034713
Phone: (801) 334-0904
Fax: (801) 334-0908
Type: Location
1680 W Highway 40 Ste 205
Vernal, UT 840784142
Phone: (435) 781-6566
Type: Location
1887 N Aaron Dr Ste C
Tooele, UT 840748138
Phone: (435) 882-5130
Type: Location
640 E 700 S Ste 206
St George, UT 847705732
Phone: (435) 773-6600
Fax: (435) 773-9982
Type: Location
293 S 200 E Ste 102
Roosevelt, UT 840663110
Phone: (357) 314-3524
Fax: (435) 731-4354
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2013-08-26
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20121227000145 | O | Hospice | UT | TBD |
| O20130826000879 | O | Hospice | UT | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 84102)
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Reviews
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