Provider Demographics
NPI:1275052870
Name:TAMG HOLDINGS, LLC
Entity Type:Organization
Organization Name:TAMG HOLDINGS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRANDY
Authorized Official - Middle Name:LYNE
Authorized Official - Last Name:ANDERSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-440-1212
Mailing Address - Street 1:75 E 7200 S STE C133
Mailing Address - Street 2:
Mailing Address - City:MIDVALE
Mailing Address - State:UT
Mailing Address - Zip Code:84047-5515
Mailing Address - Country:US
Mailing Address - Phone:385-255-7595
Mailing Address - Fax:
Practice Address - Street 1:75 E 7200 S STE C133
Practice Address - Street 2:
Practice Address - City:MIDVALE
Practice Address - State:UT
Practice Address - Zip Code:84047-5515
Practice Address - Country:US
Practice Address - Phone:385-255-7595
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CARING SENIOR SERVICE OF WASATCH
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-09-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UTPCA-UT000735253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care