Provider Demographics
NPI:1548052186
Name:CAIN, ERYKAH F
Entity type:Individual
Prefix:
First Name:ERYKAH
Middle Name:F
Last Name:CAIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 N 2100 W
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CTY
Mailing Address - State:UT
Mailing Address - Zip Code:84116-2991
Mailing Address - Country:US
Mailing Address - Phone:801-742-1162
Mailing Address - Fax:
Practice Address - Street 1:130 N 2100 W
Practice Address - Street 2:
Practice Address - City:SALT LAKE CTY
Practice Address - State:UT
Practice Address - Zip Code:84116-2991
Practice Address - Country:US
Practice Address - Phone:801-742-1162
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-20
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UTF25-118913171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator