Provider Demographics
NPI: | 1720858418 |
---|---|
Name: | IN CARE WE TRUST |
Entity type: | Organization |
Organization Name: | IN CARE WE TRUST |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | OWNER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | DANIELLE |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | POLANCO |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 801-574-5600 |
Mailing Address - Street 1: | 4761 S BLUERIDGE CIR |
Mailing Address - Street 2: | |
Mailing Address - City: | TAYLORSVILLE |
Mailing Address - State: | UT |
Mailing Address - Zip Code: | 84129-2805 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 801-574-5600 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 4761 S BLUERIDGE CIR |
Practice Address - Street 2: | |
Practice Address - City: | TAYLORSVILLE |
Practice Address - State: | UT |
Practice Address - Zip Code: | 84129-2805 |
Practice Address - Country: | US |
Practice Address - Phone: | 801-574-5600 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2024-01-04 |
Last Update Date: | 2025-10-07 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 3104A0625X | Nursing & Custodial Care Facilities | Assisted Living Facility | Assisted Living, Mental Illness | |
No | 253Z00000X | Agencies | In Home Supportive Care | ||
No | 385H00000X | Respite Care Facility | Respite Care | ||
No | 3747A0650X | Nursing Service Related Providers | Technician | Attendant Care Provider | Group - Multi-Specialty |
No | 315P00000X | Nursing & Custodial Care Facilities | Intermediate Care Facility, Intellectual Disabilities | ||
No | 251E00000X | Agencies | Home Health | ||
No | 253J00000X | Agencies | Foster Care Agency | ||
No | 310400000X | Nursing & Custodial Care Facilities | Assisted Living Facility | ||
No | 320800000X | Residential Treatment Facilities | Community Based Residential Treatment Facility, Mental Illness | Group - Multi-Specialty | |
No | 385HR2060X | Respite Care Facility | Respite Care | Respite Care, Intellectual and/or Developmental Disabilities, Child | Group - Multi-Specialty |
No | 3747P1801X | Nursing Service Related Providers | Technician | Personal Care Attendant | Group - Multi-Specialty |
No | 261QD1600X | Ambulatory Health Care Facilities | Clinic/Center | Developmental Disabilities | |
No | 385HR2065X | Respite Care Facility | Respite Care | Respite Care, Physical Disabilities, Child |