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NPI 1073479275ActiveOrganization· Case Manager/Care Coordinator· West Jordan, UT

Case Manager/Care Coordinator in West Jordan, Utah, registered in NPPES in December 2025. The authorized official on file is Tip Bounyasane, President.

Overview

NPI1073479275
StatusActive
Entity typeOrganization
NPI issuedDec 31, 2025
Last updated in NPPESDec 31, 2025
Certified by providerDec 31, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Case Manager/Care Coordinator Primary171M00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Case Manager/Care Coordinator providers in West Jordan

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