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Contact Information

LEGACY CASE MANAGEMENT LLC
5503 WEST 9000 SOUTH
APT B201
WEST JORDAN, UT84081
 Phone: 801-556-4037
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Management

251B00000X
 

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for LEGACY CASE MANAGEMENT LLC

NPI # 1427942556
LBN Legal business name LEGACY CASE MANAGEMENT LLC
Authorized official TIP BOUNYASANE - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 06/04/2025
Last updated 06/04/2025 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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