APPLEGATE HOMECARE & HOSPICE, LLC – Community Based Hospice Care Agency, NPI 1225227390
Community Based Hospice Care Agency
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for APPLEGATE HOMECARE & HOSPICE, LLC
Coral Desert Rehabilitation, 1490 E., Foremaster Drive, St. George, Washington County, Utah, 84690, United States
SUITE 340
ST GEORGE, UT 847904488
Phone: (435) 628-1569
Type: Location
1492, East Ridgeline Drive, South Ogden, Weber County, Utah, 84405, United States
SUITE 1
OGDEN, UT 844054105
Phone: (801) 621-4027
Type: Mailing
1492 E RIDGELINE DR STE 1
OGDEN, UT 844054103
Phone: (800) 871-0102
Fax: (877) 277-9740
Type: Mailing
292 S 1470 E STE 101
ST GEORGE, UT 847901764
Phone: (800) 871-0102
Fax: (877) 277-9740
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: 2003-10-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-01-31 (861 days ago).
Enrollment records
1
Earliest due date
2024-01-31
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 |
|---|---|---|---|---|
| O20031020000021 | O | Hospice | UT | 2024-01-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 84790)
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Reviews
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