Active NPI
Managing Home Care, Inc.
- In Home Supportive Care Agency
- Salt Lake City, UT
National Provider Identifier
1124410311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- 2014-PCA-42983
- Legal business name
- MANAGING HOME CARE, INC.
- Practice address
- 5005 S 900 E Ste 120
Salt Lake City, UT 84117-5711 - Phone
- (801) 266-9444
- Fax
- (801) 266-1003
- NPI assigned
- Feb 24, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Oussama Davis
- Title
- Managing Owner
- Phone
- (801) 266-9444
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | 2014-PCA-42983 | UT | Primary |
Addresses
Primary practice location
5005 S 900 E Ste 120
Salt Lake City, UT 84117-5711
Mailing address
5005 S 900 E Ste 120
Salt Lake City, UT 84117-5711
Phone (801) 266-9444
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 289806859001 | Medicaid | UT |
Other names 1
- Home Instead Senior Care #109
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424736000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1424736000000",
"number": "1124410311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5005 S 900 E STE 120",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841175711",
"telephone_number": "801-266-9444",
"fax_number": "801-266-1003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5005 S 900 E STE 120",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841175711",
"telephone_number": "801-266-9444",
"fax_number": "801-266-1003"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MANAGING HOME CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2015-02-24",
"last_updated": "2015-02-24",
"status": "A",
"authorized_official_last_name": "DAVIS",
"authorized_official_first_name": "OUSSAMA",
"authorized_official_title_or_position": "MANAGING OWNER",
"authorized_official_telephone_number": "801-266-9444",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "UT",
"license": "2014-PCA-42983",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "289806859001",
"state": "UT"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Home Instead Senior Care #109",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.