Cache Valley Adult Day Center, Inc.

Primary specialty

Respite CareTaxonomy code 385H00000X

License

2969 Issued in UT

Legal business name

CACHE VALLEY ADULT DAY CENTER, INC.

Practice address

1488 N 200 W
Logan, UT 84341-6842

Phone

(435) 753-0400

Fax

(435) 753-1853

NPI assigned

Jan 14, 2014

Last updated

Jan 14, 2014By 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

Mr. Douglas G. Stephenson

Title

Chairman of the Board

Phone

(435) 753-0400

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1389657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389657600000",
    "number": "1275955080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1488 N 200 W",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843416842",
            "telephone_number": "435-753-0400",
            "fax_number": "435-753-1853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1488 N 200 W",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843416842",
            "telephone_number": "435-753-0400",
            "fax_number": "435-753-1853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CACHE VALLEY ADULT DAY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-14",
        "last_updated": "2014-01-14",
        "status": "A",
        "authorized_official_last_name": "STEPHENSON",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "CHAIRMAN OF THE BOARD",
        "authorized_official_telephone_number": "435-753-0400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "UT",
            "license": "2969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• C & J Medical LLC
• Cache County Emergency Medical Services Authority
• Cache Employment and Training Center (Cetc)
• Cache Internal Medicine Inc
• Cache Orthopaedics PC
• Cache Valley Beehive Homes Inc. (Beehive Homes of Logan)
• Cache Valley Cancer Treatment &Research Clinic PC
• Cache Valley Cardiology PC
• Cache Valley Center for Couples and Families
• Cache Valley Dental Associates LLC

• Respite Care in Logan, UT
• Providers in Logan, UT by specialty
• Respite Care in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2014; 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.