Provider Demographics
NPI:1407377310
Name:CARE2U
Entity Type:Organization
Organization Name:CARE2U
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KIM
Authorized Official - Middle Name:
Authorized Official - Last Name:GLEAVE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-497-6689
Mailing Address - Street 1:6494 S 1725 E
Mailing Address - Street 2:
Mailing Address - City:UINTAH
Mailing Address - State:UT
Mailing Address - Zip Code:84405-9759
Mailing Address - Country:US
Mailing Address - Phone:801-497-6689
Mailing Address - Fax:
Practice Address - Street 1:6494 S 1725 E
Practice Address - Street 2:
Practice Address - City:UINTAH
Practice Address - State:UT
Practice Address - Zip Code:84405-9759
Practice Address - Country:US
Practice Address - Phone:801-497-6689
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-29
Last Update Date:2017-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335V00000XSuppliersPortable X-ray and/or Other Portable Diagnostic Imaging Supplier