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Mulberry Hollow Community Services

NPI 1235481763ActiveOrganization· Supports Brokerage· Holladay, UT

Supports Brokerage in Holladay, Utah, registered in NPPES in October 2012. The authorized official on file is Evert Theodore Pierce, Executive Director.

Overview

NPI1235481763
StatusActive
Entity typeOrganization
NPI issuedOct 8, 2012
Last updated in NPPESOct 8, 2012

Specialties and licenses

TaxonomyCodeLicenseState
Supports Brokerage Primary251X00000X—UT

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years