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NPI Code Detail

MEDICARE: CASE MANAGEMENT INTEGRATED SOLUTIONS, LLC

MEDICARE: CASE MANAGEMENT INTEGRATED SOLUTIONS, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251C00000XDevelopmentally Disabled Services Day Training Agency
2251X00000XSupports Brokerage Agency
33747P1801XPersonal Care Attendant
4251B00000XCase Management Agency
5171M00000XCase Manager/Care Coordinator
6385H00000XRespite Care

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1639636673
Entity Type Code : Organization
Provider Name (Legal Business Name) : CASE MANAGEMENT INTEGRATED SOLUTIONS, LLC
Provider Business Mailing Address
First Line : 4221 WILSHIRE BLVD STE 392
Second Line :
City : LOS ANGELES
State : CA
Zip : 90010-3537
Country : US
Telephone Number : 323-902-6000
Fax Number : 323-902-6000
Provider Business Practice Location Address
First Line : 10900 S VERMONT AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90044-3016
Country : US
Telephone Number : 323-676-1000
Fax Number : 323-676-2000
Authorized Official
Title or Position : CEO
Name : SHAYE STEVEN ATLAS
Credential :
Telephone Number : 323-676-1000
Provider Enumeration Date : 02/26/2019
Last Update Date : 04/15/2026

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Directions to “CASE MANAGEMENT INTEGRATED SOLUTIONS, LLC ” Practice Location

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