Central Utah Center for Independent Living

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

0177 Issued in UT

Legal business name

CENTRAL UTAH CENTER FOR INDEPENDENT LIVING

Practice address

491 N Freedom Blvd
Provo, UT 84601-2824

Phone

(801) 373-5044

Fax

(801) 373-5094

NPI assigned

Mar 21, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Sandra Marlene Curcio

Title

Executive Director

Phone

(801) 373-5044

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1518083625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "491 N FREEDOM BLVD",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846012824",
            "telephone_number": "801-373-5044",
            "fax_number": "801-373-5094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "491 N FREEDOM BLVD",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846012824",
            "telephone_number": "801-373-5044",
            "fax_number": "801-373-5094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL UTAH CENTER FOR INDEPENDENT LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CURCIO",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "MARLENE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "801-373-5044",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "UT",
            "license": "0177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0177",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in Provo, UT
• Providers in Provo, UT by specialty
• Case Management Agency in Utah

• 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.