Active NPI
JNK Management LLC.
- Case Manager/Care Coordinator
- South Jordan, UT
National Provider Identifier
1609609635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Legal business name
- JNK MANAGEMENT LLC.
- Practice address
- 10718 S 2420 W
South Jordan, UT 84095-8659 - Phone
- (801) 694-7071
- NPI assigned
- Aug 23, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Nickson N Kasue, DIRECTOR
- Title
- Director
- Phone
- (801) 694-7071
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary | ||
| Voluntary or Charitable Agency | 251V00000X | |||
| In Home Supportive Care Agency | 253Z00000X |
Addresses
Primary practice location
10718 S 2420 W
South Jordan, UT 84095-8659
Mailing address
10718 S 2420 W
South Jordan, UT 84095-8659
Phone (801) 694-7071
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DHHS | Other | UT | DSPD |
| 8016947071 | Other | UT | DHHS |
| 152937369 | Other | UT | DRIVER LICENSE # |
| 152937369 | Medicaid | UT |
Other names 1
- PIONEER CARE LIVING
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724371200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724371200000",
"number": "1609609635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10718 S 2420 W",
"city": "SOUTH JORDAN",
"state": "UT",
"postal_code": "840958659",
"telephone_number": "801-694-7071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10718 S 2420 W",
"city": "SOUTH JORDAN",
"state": "UT",
"postal_code": "840958659",
"telephone_number": "801-694-7071"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JNK MANAGEMENT LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-23",
"last_updated": "2024-08-23",
"certification_date": "2024-08-23",
"status": "A",
"authorized_official_last_name": "KASUE",
"authorized_official_first_name": "NICKSON",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "801-694-7071",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "DIRECTOR"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
},
{
"code": "251V00000X",
"taxonomy_group": "",
"desc": "Voluntary or Charitable",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DSPD",
"identifier": "DHHS",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DHHS",
"identifier": "8016947071",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVER LICENSE #",
"identifier": "152937369",
"state": "UT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "152937369",
"state": "UT"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "PIONEER CARE LIVING",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "PIONEER CARE LIVING",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in South Jordan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.