Organization Active NPI

Agesmart Senior Solutions LLC

Doing business as AgeSmart Senior Solutions

  • In Home Supportive Care Agency
  • Sandy, UT
National Provider Identifier
1548064074
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
AGESMART SENIOR SOLUTIONS LLC
Doing business as
AgeSmart Senior Solutions
Practice address
739 E Ponderosa Dr
Sandy, UT 84094-0213
Phone
(801) 953-9716
NPI assigned
Apr 3, 2025
Last updated
Apr 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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

Authorized official

Name
Mary Ann Lucero
Title
Administrator
Phone
(801) 953-9716

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

739 E Ponderosa Dr
Sandy, UT 84094-0213

Mailing address

739 E Ponderosa Dr
Sandy, UT 84094-0213
Phone (801) 953-9716

Other names 1

  • AgeSmart Senior Solutions Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1743638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743638400000",
    "number": "1548064074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "739 E PONDEROSA DR",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840940213",
            "telephone_number": "801-953-9716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "739 E PONDEROSA DR",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840940213",
            "telephone_number": "801-953-9716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGESMART SENIOR SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-03",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A",
        "authorized_official_last_name": "LUCERO",
        "authorized_official_first_name": "MARY ANN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "801-953-9716"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AgeSmart Senior Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sandy, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.