Organization Active NPI

Conti-Care, LLC

  • Clinic/Center
  • Orem, UT
National Provider Identifier
1255533238
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
213838-4405 Issued in UT
Legal business name
CONTI-CARE, LLC
Practice address
1495 N 200 W
Orem, UT 84057-2626
Phone
(801) 361-6038
Fax
(801) 764-9393
NPI assigned
Jun 2, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Laura C. Maw, MS, APRNNPI 1982661039
Title
Nurse Practitioner
Phone
(801) 361-6038

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 213838-4405 UT Primary

Addresses

Primary practice location

1495 N 200 W
Orem, UT 84057-2626

Mailing address

1495 N 200 W
Orem, UT 84057-2626
Phone (801) 361-6038

Other identifiers 2

IdentifierTypeStateIssuer
529967696002MedicaidUT
21383844001001OtherUTBXBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070713000031 UT Part B Supplier - Clinic/Group Practice 1658471164 Receives reassigned benefits from 2 practitioners
Practice locations: Lehi, UT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1180742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255533238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1495 N 200 W",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840572626",
            "telephone_number": "801-361-6038",
            "fax_number": "801-764-9393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1495 N 200 W",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840572626",
            "telephone_number": "801-361-6038",
            "fax_number": "801-764-9393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONTI-CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAW",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "801-361-6038",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, APRN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "UT",
            "license": "213838-4405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529967696002",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BXBS",
            "identifier": "21383844001001",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orem, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.