Healthcare Provider Details

I. General information

NPI: 1750121216
Provider Name (Legal Business Name): AMG HOSPICE OF UTAH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/30/2024
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

738 N 3275 W
LAYTON UT
84041-3321
US

IV. Provider business mailing address

738 N 3275 W
LAYTON UT
84041-3321
US

V. Phone/Fax

Practice location:
  • Phone: 208-230-0314
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: DAVID W NATTRESS
Title or Position: PRESIDENT
Credential:
Phone: 208-761-7170