Symbii Hospice South – Community Based Hospice Care Agency, NPI 1629591003
Community Based Hospice Care Agency
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Symbii Hospice South
1385 W 2200 S STE 202
WEST VALLEY CITY, UT 841197205
Phone: (801) 433-0344
Fax: (801) 433-0075
Type: Mailing
1924 N 1120 W
Provo, UT 846041045
Phone: (801) 655-4272
Type: Location
894 E 100 N
Price, UT 845012711
Phone: (435) 637-7225
Type: Location
308 E 4500 S STE 100
MURRAY, UT 841074057
Phone: (801) 433-0344
Fax: (801) 433-0075
Type: Mailing
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: 2019-01-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-05-31 (741 days ago).
Enrollment records
1
Earliest due date
2024-05-31
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 |
|---|---|---|---|---|
| O20190124002056 | O | Hospice | UT | 2024-05-31 |
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 84119)
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