SPECIALTY CARE GROUP, LLC (NPI# 1417378712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417378712 |
| Entity Type | Organization |
| Organization Name | SPECIALTY CARE GROUP, LLC |
| Other Organization Name | SPECIALTY CARE GROUP |
| Practice Address |
9980 S 300 W Suite 200 Sandy UT 84070-3627 |
| Practice Telephone | 8013279696 |
| Practice Fax Number | 8019312605 |
| Mailing Telephone | 8013279696 |
| Mailing Fax Number | 8019312605 |
| Enumeration Date | 2014-01-04 |
| Last Update Date | 2014-01-04 |
| Authorized Official Name | JOHN ROBLEDO-DUNN (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 8013279696 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | Agencies |
| Other Name | Type Code |
|---|---|
| SPECIALTY CARE GROUP | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942524103 | Specialty Care Group, LLC | Specialist | 2113 Girard Ave S Ste 2, Minneapolis, MN 55405-2547 | 2010-03-17 |
| Street Address |
9980 S 300 W SUITE 200 |
| City | SANDY |
| State | UT |
| Zip Code | 84070-3627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154755882 | Senior Mobile Docs | Family Medicine | 9980 S 300 W, Suite 245, Sandy, UT 84070-3627 | 2013-08-29 |
| 1487119491 | Jennifer Melinda Melcomian | Nurse Practitioner | 9980 S 300 W, Sandy, UT 84070-3627 | 2019-02-04 |
| 1750749958 | Adventurpsych, Pllc | Psychiatry & Neurology | 9980 S 300 W, Suite 200, Sandy, UT 84070-3627 | 2016-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639777568 | Megan Komatsu Inc. | Social Worker | 10815 700 East, Sandy, UT 84070 | 2020-10-13 |
| 1841803137 | Anywhere Care | Nurse Practitioner | 9980 S. 300 W. Suite 200, Sandy, UT 84070 | 2020-08-26 |
| 1245840552 | Kirandeep Kaur | Psychologist | 9678 700 E # 102, Sandy, UT 84070 | 2020-08-03 |
| 1740890961 | Elizabeth Lowe Madsen | Counselor | 9678 700 East Suite 102, Sandy, UT 84070 | 2020-08-03 |
| 1417597188 | Hayley Burr | Counselor | 8706 700 E, Suite 205, Sandy, UT 84070 | 2020-01-10 |
| 1821656422 | Karen Ritchie | Counselor | 9192 South 300 West, Sandy, UT 84070 | 2019-05-30 |
| 1679068159 | Derek Livingston | Counselor | 11075 State St #35, Sandy, UT 84070 | 2018-06-27 |
| 1891283735 | Alta Rx LLC. | Pharmacy | 9883 South 500 West, Sandy, UT 84070 | 2018-04-26 |
| 1790273704 | The Addiction Medicine Physicians Group, LLC | Registered Nurse | 9160 S 300 E. Ste 25, Sandy, UT 84070 | 2018-04-25 |
| 1841794765 | Caryn Beazel | Physical Therapist | 9350 150 E, Sandy, UT 84070 | 2018-03-23 |
| Find all providers in zip 84070 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083887855 | Clinicians At Home, LLC | Case Management | 903 Carnation Dr, Sandy, UT 84094-4532 | 2008-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568062537 | Phillip Smith | Case Management | 230 W 400 S, Salt Lake City, UT 84101-1829 | 2020-10-29 |
| 1629696257 | Filita Bloomfield | Case Management | 6526 S Mount Whitney Ln, West Valley City, UT 84118-9362 | 2020-07-09 |
| 1629537238 | Adelfos LLC | Case Management | 308 W Willow Creek Dr, Saratoga Springs, UT 84045-4814 | 2019-03-14 |
| 1831657709 | Abc Case Management, Inc. | Case Management | 12971 S Shawnee Dr, Riverton, UT 84096-7805 | 2019-03-08 |
| 1114423803 | Lemoyne Lee | Case Management | 4162 W 4570 S, West Valley, UT 84120-6043 | 2018-04-02 |
| 1467963918 | Victoira Julia Graham | Case Management | 344 East 100 South Ste 301, Salt Lake City, UT 84111 | 2017-10-23 |
| 1629515044 | Care 2 Care Services | Case Management | 451 E Bishop Federal Ln Ste 150, Salt Lake City, UT 84115-2357 | 2017-01-24 |
| 1598214959 | Gracehouse Healing Centers Utah County | Case Management | 744 S 400 E, Orem, UT 84097-6322 | 2016-09-27 |
| 1275985244 | American Care United,llc | Case Management | 1515 E Fort Union Blvd, Cottonwood Heights, UT 84121-2855 | 2016-07-01 |
| 1750732004 | Olivia Howell | Case Management | 189 E Fort Union Blvd, Suite 250, Midvale, UT 84047-5661 | 2016-06-28 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.