Organization Active NPI

Options for Independence

  • Case Manager/Care Coordinator
  • Logan, UT
National Provider Identifier
1366568529
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
OPTIONS FOR INDEPENDENCE
Practice address
1095 N Main St
Logan, UT 84341-2215
Phone
(435) 753-5353
Fax
(435) 753-5390
NPI assigned
Mar 21, 2007
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
Cheryl J. Atwood
Title
Executive Director
Phone
(435) 753-5353

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193400000X SINGLE SPECIALTY GROUP 171M00000X Primary

Addresses

Primary practice location

1095 N Main St
Logan, UT 84341-2215

Mailing address

1095 N Main St
Logan, UT 84341-2215
Phone (435) 753-5353

National Provider Directory

National Provider Directory
Tax ID family
Northern Utah Center for Independent Living2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1095 N Main St
Logan, UT 84341
Phone (435) 753-5353

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366568529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1095 N MAIN ST",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843412215",
            "telephone_number": "435-753-5353",
            "fax_number": "435-753-5390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1095 N MAIN ST",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843412215",
            "telephone_number": "435-753-5353",
            "fax_number": "435-753-5390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIONS FOR INDEPENDENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ATWOOD",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "435-753-5353"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Logan, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.