Provider Demographics
NPI:1366122194
Name:CAZIER CARE LLC
Entity type:Organization
Organization Name:CAZIER CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JEREMIAH
Authorized Official - Middle Name:
Authorized Official - Last Name:CAZIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-709-8585
Mailing Address - Street 1:3507 N UNIVERSITY AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:PROVO
Mailing Address - State:UT
Mailing Address - Zip Code:84604-6637
Mailing Address - Country:US
Mailing Address - Phone:801-899-4183
Mailing Address - Fax:
Practice Address - Street 1:3507 N UNIVERSITY AVE STE 300
Practice Address - Street 2:
Practice Address - City:PROVO
Practice Address - State:UT
Practice Address - Zip Code:84604-6637
Practice Address - Country:US
Practice Address - Phone:801-899-4183
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-18
Last Update Date:2023-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care