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Caresource — NPI 1902861693, Park City, UT | NPI Central

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NPI 1902861693

OrganizationActive

Caresource

NPI 1902861693 · Home Health Agency · Park City, UT

Provider details

NPI number: 1902861693
Entity type: Organization
Primary specialty: Home Health AgencyAgencies
Organization subpart: No
Authorized official: Shawntel Tanner, Ceo/Administrator(801) 266-7200
License: 2006-HHA-912 (UT)

Specialties & taxonomies

Home Health AgencyPrimary251E00000XLicense 2006-HHA-912 (UT)
Agencies

Practice location

750 Kearns Blvd. #200

Park City, UT 84060

Phone: (801) 266-7200

Fax: (801) 266-7004

Approximate (ZIP-level) locationGet directions

More UT providers

Mailing address

Po Box 680839

Park City, UT 84068

Other names (DBA / former)

Other name: Caresource Home Health and Hospice

Registry dates

Enumerated: 2006-04-18
Last updated: 2016-11-14

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.