Organization Active NPI

Managing Home Care, Inc.

  • In Home Supportive Care Agency
  • Salt Lake City, UT
National Provider Identifier
1124410311
Registry record updated Feb 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
2014-PCA-42983 Issued in UT
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

Updated by the provider on Feb 24, 2015

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
289806859001MedicaidUT

Other names 1

  • Home Instead Senior Care #109 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.