Spectrum of Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

SPECTRUM OF CARE LLC

Practice address

1622 S 2065 W
Woods Cross, UT 84087-5012

Phone

(435) 313-2753

NPI assigned

Jul 22, 2024

Organization subpart

No

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

Authorized official

Name

Pono Solomone HaveaNPI 1225204225

Title

Director

Phone

(435) 313-2753

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pono Solomone Havea, HSW

  • Case Manager/Care Coordinator
  • Provo, UT
  • NPI 1225204225
  NPD Authorized official

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

{
    "created_epoch": "1721606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721606400000",
    "number": "1104654201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1622 S 2065 W",
            "city": "WOODS CROSS",
            "state": "UT",
            "postal_code": "840875012",
            "telephone_number": "435-313-2753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1622 S 2065 W",
            "city": "WOODS CROSS",
            "state": "UT",
            "postal_code": "840875012",
            "telephone_number": "435-313-2753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM OF CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-22",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A",
        "authorized_official_last_name": "HAVEA",
        "authorized_official_first_name": "PONO",
        "authorized_official_middle_name": "SOLOMONE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "435-313-2753"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Christopher Mark Tippets, LCSW
• Brittany Titensor, MSW, LCSW

• In Home Supportive Care Agency in Woods Cross, UT
• Providers in Woods Cross, UT by specialty
• In Home Supportive Care Agency in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.