Provider Demographics
NPI:1114763901
Name:J&K CARE MANAGEMENT LLC
Entity type:Organization
Organization Name:J&K CARE MANAGEMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:R
Authorized Official - Last Name:IBARRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-300-3902
Mailing Address - Street 1:3346 S 8000 W
Mailing Address - Street 2:
Mailing Address - City:MAGNA
Mailing Address - State:UT
Mailing Address - Zip Code:84044-1948
Mailing Address - Country:US
Mailing Address - Phone:801-300-3902
Mailing Address - Fax:801-250-1000
Practice Address - Street 1:3346 S 8000 W
Practice Address - Street 2:
Practice Address - City:MAGNA
Practice Address - State:UT
Practice Address - Zip Code:84044-1948
Practice Address - Country:US
Practice Address - Phone:801-250-0072
Practice Address - Fax:801-250-1000
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-02
Last Update Date:2024-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility