NPIMap

Organization Active NPI

Legacy Case Management LLC

  • Case Management Agency
  • West Jordan, UT
National Provider Identifier
1427942556
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
LEGACY CASE MANAGEMENT LLC
Practice address
5503 West 9000 South
Apt B201
West Jordan, UT 84081
Phone
(801) 556-4037
NPI assigned
Jun 4, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2025

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

Authorized official

Name
Tip BounyasaneNPI 1285409565
Title
President
Phone
(801) 556-4037

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

5503 West 9000 South
Apt B201
West Jordan, UT 84081

Mailing address

PO Box 632
West Jordan, UT 84084-0632
Phone (801) 556-4037

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1748995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748995200000",
    "number": "1427942556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 632",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840840632",
            "telephone_number": "801-556-4037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5503 WEST 9000 SOUTH",
            "address_2": "APT B201",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "84081",
            "telephone_number": "801-556-4037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY CASE MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-04",
        "last_updated": "2025-06-04",
        "certification_date": "2025-05-20",
        "status": "A",
        "authorized_official_last_name": "BOUNYASANE",
        "authorized_official_first_name": "TIP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-556-4037"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Jordan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2025; 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.