Caresource Senior Supportive Care Center
LBN: Caresource
Caresource Senior Supportive Care Center is an health care organization with primary practice located at 1624 E 4500 S , Salt Lake City UT 84117-4212. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Caresource can be contacted via phone (801) 266-7200, or through Tanner, Shawntel via phone (801) 266-7200.
Contact Information
Primary practice address
1624 E 4500 S
Salt Lake City UT 84117-4212
Phone: (801) 266-7200
Fax: (801) 266-7004
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 5221090-1205 | Utah |
| Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207QH0002X | 5221090-1205 | Utah |
Profile Details
| NPI number | 1124242128 |
|---|---|
| LBN Legal business name | Caresource |
| DBA Doing business as | Caresource Senior Supportive Care Center |
| Authorized official | Tanner, Shawntel Master of Arts (MA) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 12th, 2007 |
| Last updated | Aug 22nd, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
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