Provider Demographics
NPI:1679240790
Name:CARE AGE MANAGEMENT
Entity Type:Organization
Organization Name:CARE AGE MANAGEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CHAD
Authorized Official - Middle Name:AARON
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:928-660-0681
Mailing Address - Fax:866-300-9276
Practice Address - Street 1:1555 W 1170 N
Practice Address - Street 2:
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84770-6597
Practice Address - Country:US
Practice Address - Phone:435-634-0202
Practice Address - Fax:866-300-9276
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CARE AGE MANAGEMENT CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-08-26
Last Update Date:2021-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility