Good Shepherd Homecare & Hospice – Community Based Hospice Care Agency, NPI 1669557864
Community Based Hospice Care Agency
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Good Shepherd Homecare & Hospice
266, West 100 North, Vernal, Uintah County, Utah, 84078, United States
STE 2
VERNAL, UT 840782012
Phone: (801) 277-6474
Type: Location
3584 W 9000 S STE 300
WEST JORDAN, UT 840885711
Phone: (801) 277-6474
Type: Mailing
Intermountain Salt Lake Clinic, 389 S, 900 East, East Central, Salt Lake City, Salt Lake County, Utah, 84102, United States
STE 102
SALT LAKE CITY, UT 841177249
Phone: (801) 277-6474
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: 2006-01-24
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-03-31 (806 days ago).
Enrollment records
1
Earliest due date
2024-03-31
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 |
|---|---|---|---|---|
| O20060124000778 | O | Hospice | UT | 2024-03-31 |
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 84078)
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Reviews
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