Provider Demographics
NPI:1003794082
Name:POP-POP'S HOSPICE HOME, LLC
Entity type:Organization
Organization Name:POP-POP'S HOSPICE HOME, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MERRILLY
Authorized Official - Middle Name:
Authorized Official - Last Name:LOERTSCHER
Authorized Official - Suffix:
Authorized Official - Credentials:BSN, RN, EOLD
Authorized Official - Phone:717-538-1641
Mailing Address - Street 1:4817 S 3040 W
Mailing Address - Street 2:
Mailing Address - City:TAYLORSVILLE
Mailing Address - State:UT
Mailing Address - Zip Code:84129-2509
Mailing Address - Country:US
Mailing Address - Phone:717-538-1641
Mailing Address - Fax:
Practice Address - Street 1:4817 S 3040 W
Practice Address - Street 2:
Practice Address - City:TAYLORSVILLE
Practice Address - State:UT
Practice Address - Zip Code:84129-2509
Practice Address - Country:US
Practice Address - Phone:717-538-1641
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-26
Last Update Date:2025-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH1000XNursing Service ProvidersRegistered NurseHospiceGroup - Single Specialty
No251J00000XAgenciesNursing Care
No385H00000XRespite Care FacilityRespite Care