Connected Senior Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

CONNECTED SENIOR CARE LLC

Practice address

95 W 100 S Ste 118
Logan, UT 84321-5182

Phone

(435) 554-8688

NPI assigned

Jul 17, 2023

Organization subpart

No

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

Authorized official

Name

Chase Kimball

Title

Manager

Phone

(435) 890-8542

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689552000000",
    "number": "1487333241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3888 S 4000 W",
            "city": "WELLSVILLE",
            "state": "UT",
            "postal_code": "843398401",
            "telephone_number": "435-554-8688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 W 100 S STE 118",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843215182",
            "telephone_number": "435-554-8688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTED SENIOR CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-17",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A",
        "authorized_official_last_name": "KIMBALL",
        "authorized_official_first_name": "CHASE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "435-890-8542"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; 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.