MEDICARE: CONSTANCE SCHADE

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
1	171M00000X	Case Manager/Care Coordinator	3218	CA

General Provider Information

NPI Number	:	1912126400
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CONSTANCE SCHADE

Provider Business Mailing Address
First Line	:	7900 RESEDA BLVD APT 312
Second Line	:
City	:	RESEDA
State	:	CA
Zip	:	91335-1929
Country	:	US
Telephone Number	:	818-881-1085
Fax Number	:

Provider Business Practice Location Address
First Line	:	8745 PARTHENIA PL STE 4
Second Line	:
City	:	NORTH HILLS
State	:	CA
Zip	:	91343-5157
Country	:	US
Telephone Number	:	818-895-5002
Fax Number	:	818-895-5502

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/24/2007
Last Update Date	:	07/08/2007

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Directions to “ CONSTANCE SCHADE ” Practice Location

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