Provider Demographics
NPI:1144388604
Name:CARE AGE MANAGEMENT
Entity Type:Organization
Organization Name:CARE AGE MANAGEMENT
Other - Org Name:BEE HIVE HOMES OF KANAB
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CHAD
Authorized Official - Middle Name:
Authorized Official - Last Name:SZYMANSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:928-660-0681
Mailing Address - Street 1:1364 S POWELL DR
Mailing Address - Street 2:
Mailing Address - City:KANAB
Mailing Address - State:UT
Mailing Address - Zip Code:84741-6208
Mailing Address - Country:US
Mailing Address - Phone:435-644-8100
Mailing Address - Fax:435-644-8100
Practice Address - Street 1:1364 S POWELL DR
Practice Address - Street 2:
Practice Address - City:KANAB
Practice Address - State:UT
Practice Address - Zip Code:84741-6208
Practice Address - Country:US
Practice Address - Phone:435-644-8100
Practice Address - Fax:435-644-8100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility