Caresource
Caresource is a healthcare organization registered as Hospice and Palliative Medicine (Family Medicine) Physician in Salt Lake City, UT, holding Type 2 (organization) NPI 1124242128 since 2007. The authorized official on file is Shawntel Tanner, Administrator.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1124242128 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Caresource |
| Other name | <Unavail> |
| Practice address | 1624 E 4500 S, Salt Lake City, UT, 84117 |
| Phone | 8012667200 |
| Fax | 8012667004 |
| Enumeration date | 2007-04-12 |
| Last updated in NPPES | 2025-09-11 |
Authorized official
| Name | Shawntel Tanner |
|---|---|
| Title | Administrator |
| Phone | 8012667200 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207Q00000X | Family Medicine Physician | Secondary | 5221090-1205 | UT |
| 207QH0002X | Hospice and Palliative Medicine (Family Medicine) Physician | Primary | 5221090-1205 | UT |
Copy-ready billing details
Provider: Caresource NPI: 1124242128 Taxonomy: 207QH0002X (Hospice and Palliative Medicine (Family Medicine) Physician) Address: 1624 E 4500 S, Salt Lake City, UT, 84117
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1720199615 | Stephen Smith | Individual | Hospice and Palliative Medicine (Internal Medicine) Physician | Holladay, UT |
| 1235353236 | Caresource LLC | Organization | Community Based Hospice Care Agency | Salt Lake City, UT |
| 1316490402 | Caresource | Organization | Skilled Nursing Facility | Salt Lake City, UT |
| 1386196194 | Lodge By Valeo, LLC | Organization | Inpatient Hospice | Salt Lake City, UT |
| 1164091344 | Yanni Gallagher | Individual | Marriage & Family Therapist | Millcreek, UT |
| 1730048828 | Ascent Behavioral Hospital LLC | Organization | Psychiatric Hospital | Millcreek, UT |
Verify this record
Cross-check NPI 1124242128 against the authoritative CMS record: view Caresource on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Caresource located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-09-11.