Provider Demographics
NPI:1962203331
Name:CADE CABINS LLC
Entity type:Organization
Organization Name:CADE CABINS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CADE
Authorized Official - Middle Name:
Authorized Official - Last Name:DOPP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-755-7327
Mailing Address - Street 1:265 SPRING LN
Mailing Address - Street 2:
Mailing Address - City:CLARK FORK
Mailing Address - State:ID
Mailing Address - Zip Code:83811-5502
Mailing Address - Country:US
Mailing Address - Phone:801-755-7327
Mailing Address - Fax:
Practice Address - Street 1:748 S WOOD BRIAR WAY
Practice Address - Street 2:
Practice Address - City:NORTH SALT LAKE
Practice Address - State:UT
Practice Address - Zip Code:84054-3339
Practice Address - Country:US
Practice Address - Phone:801-755-7327
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-21
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty