Healthcare Provider Details

I. General information

NPI: 1639636673
Provider Name (Legal Business Name): CASE MANAGEMENT INTEGRATED SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2019
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10900 S VERMONT AVE
LOS ANGELES CA
90044-3016
US

IV. Provider business mailing address

4221 WILSHIRE BLVD STE 392
LOS ANGELES CA
90010-3537
US

V. Phone/Fax

Practice location:
  • Phone: 323-676-1000
  • Fax: 323-676-2000
Mailing address:
  • Phone: 323-902-6000
  • Fax: 323-902-6000

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251X00000X
TaxonomySupports Brokerage Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: SHAYE STEVEN ATLAS
Title or Position: CEO
Credential:
Phone: 323-676-1000