Caregiver Support Network, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

2004-HHA-20903 Issued in UT

Legal business name

CAREGIVER SUPPORT NETWORK, INC

Doing business as

Caregiver Support Network

Practice address

404 E 4500 S Ste A24
Salt Lake City, UT 84107-2756

Phone

(801) 747-2100

Fax

(801) 747-2104

NPI assigned

Jun 25, 2005

Last updated

Sep 20, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Chris Ann Woods, P.T.A.

Title

Vice President

Phone

(801) 747-2100

Specialties & licenses 2

Addresses

Other names 1

• Caregiver Support Network Doing business as

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1083610869. Details of each certification follow.

• CCN 467206 Home health agency · Active · Details

Home health agency certification: CCN 467206

Legal name

CAREGIVER SUPPORT NETWORK, INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Apr 9, 2003

Last certification

Nov 18, 2020

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Oct 28, 1999 in UT

Enrollment address

404 E 4500 S
Ste A24
Salt Lake City, UT 84107-2756

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Caregiver Support Network, Inc

  dba Caregiver Support Network Hospice

  • Community Based Hospice Care Agency
  • Salt Lake City, UT
  • NPI 1750334645

  0042128563

  Same PAC ID

Listed as

Caregiver Support Network, Inc.CCN 467206 · All quality measures

Overall star rating

4 of 5

Ownership

Proprietary

Certified

Apr 9, 2003

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• August Jean Teuscher, MSN, APRN, FNP-C

  • Nurse Practitioner
  • Pleasant View, UT
  • NPI 1407448970
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663632000000",
    "number": "1083610869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 E 4500 S STE A24",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841072756",
            "telephone_number": "801-747-2100",
            "fax_number": "801-747-2104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 E 4500 S STE A24",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841072756",
            "telephone_number": "801-747-2100",
            "fax_number": "801-747-2104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREGIVER SUPPORT NETWORK, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-25",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A",
        "authorized_official_last_name": "WOODS",
        "authorized_official_first_name": "CHRIS ANN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "801-747-2100",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "P.T.A."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "UT",
            "license": "2004-HHA-20903",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "UT",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Caregiver Support Network",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Caregiver Support Network",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Caregiver Support Network, Inc (Caregiver Support Network Hospice)
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• Caresource
• Caresource (CareSource Rehab and Supportive Care)

• Home Health Agency in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Home Health Agency in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.