Provider Demographics
NPI:1902074008
Name:DESERET CARE, LLC
Entity Type:Organization
Organization Name:DESERET CARE, LLC
Other - Org Name:LOVE HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT, CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:LOVE
Authorized Official - Suffix:
Authorized Official - Credentials:RRT
Authorized Official - Phone:801-973-0900
Mailing Address - Street 1:1405 W 2200 S
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84119-1485
Mailing Address - Country:US
Mailing Address - Phone:801-973-0900
Mailing Address - Fax:801-973-9571
Practice Address - Street 1:353 N 4TH AVE
Practice Address - Street 2:SUITE 205
Practice Address - City:POCATELLO
Practice Address - State:ID
Practice Address - Zip Code:83201-6390
Practice Address - Country:US
Practice Address - Phone:208-478-6677
Practice Address - Fax:208-478-2618
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-12
Last Update Date:2008-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based