NPIMap

Organization Active NPI

Tri-County Independent Living Center

  • Case Manager/Care Coordinator
  • Ogden, UT
National Provider Identifier
1548469752
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
001 Issued in UT
Legal business name
TRI-COUNTY INDEPENDENT LIVING CENTER
Practice address
2726 Washington Blvd
Ogden, UT 84401-3677
Phone
(801) 612-3215
Fax
(801) 612-3732
NPI assigned
Jul 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Vickie Call Brenchley
Title
Deputy Director
Phone
(801) 612-3215

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X 001 UT Primary
Case Management Agency 251B00000X 001 UT

Addresses

Primary practice location

2726 Washington Blvd
Ogden, UT 84401-3677

Mailing address

2726 Washington Blvd
Ogden, UT 84401-3677
Phone (801) 612-3215

Other names 1

  • Tri-County ILC Other name

National Provider Directory

National Provider Directory
Tax ID family
Tri-County Ilc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1548469752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2726 WASHINGTON BLVD",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844013677",
            "telephone_number": "801-612-3215",
            "fax_number": "801-612-3732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2726 WASHINGTON BLVD",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844013677",
            "telephone_number": "801-612-3215",
            "fax_number": "801-612-3732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-COUNTY INDEPENDENT LIVING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-17",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BRENCHLEY",
        "authorized_official_first_name": "VICKIE",
        "authorized_official_middle_name": "CALL",
        "authorized_official_title_or_position": "DEPUTY DIRECTOR",
        "authorized_official_telephone_number": "801-612-3215",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": "UT",
            "license": "001",
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "UT",
            "license": "001",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tri-County ILC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ogden, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.