Caresource L L C
Organization Active NPI Home Health Agency · Park City, UT
NPI 1497979413 · NPPES record last updated Nov 14, 2016
Key facts
- NPI
- 1497979413
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- 2006-HHA-912 (UT)
- Legal business name
- CARESOURCE L L C
- Practice address
- 750 Kearns Blvd # 200
Park City, UT 84060-5137 - Phone
- (801) 266-7200
- Fax
- (801) 266-7004
- NPI assigned
- Apr 12, 2007
- Organization subpart
- No
Authorized official
- Name
- Mrs. Shawntel Tanner, MA
- Title
- Administrator
- Phone
- (801) 266-7200
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 2006-HHA-912 | UT | Yes |
Addresses
Primary practice location
750 Kearns Blvd # 200
Park City, UT 84060-5137
Mailing address
PO Box 680839
Park City, UT 84068-0839
Phone (801) 266-7200
Other names
- CareSource Home Health
Other providers in Park City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 14, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.