Organization Active NPI

JNK Management LLC.

  • Case Manager/Care Coordinator
  • South Jordan, UT
National Provider Identifier
1609609635
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
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

Updated by the provider on Aug 23, 2024

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)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
DHHSOtherUTDSPD
8016947071OtherUTDHHS
152937369OtherUTDRIVER LICENSE #
152937369MedicaidUT

Other names 1

  • PIONEER CARE LIVING Other name

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.