Provider Demographics
NPI:1659086924
Name:STELLAR HOSPICE LLC
Entity Type:Organization
Organization Name:STELLAR HOSPICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT/ADMIN/DON
Authorized Official - Prefix:
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:
Authorized Official - Last Name:OLSCHEWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-694-1198
Mailing Address - Street 1:800 E FORT UNION BLVD
Mailing Address - Street 2:
Mailing Address - City:MIDVALE
Mailing Address - State:UT
Mailing Address - Zip Code:84047-2391
Mailing Address - Country:US
Mailing Address - Phone:801-694-1198
Mailing Address - Fax:
Practice Address - Street 1:800 E FORT UNION BLVD
Practice Address - Street 2:
Practice Address - City:MIDVALE
Practice Address - State:UT
Practice Address - Zip Code:84047-2391
Practice Address - Country:US
Practice Address - Phone:801-694-1198
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-20
Last Update Date:2023-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based