Healthcare Provider Details

I. General information

NPI: 1649795741
Provider Name (Legal Business Name): ROPHE CARE MANAGEMENT CONSULTANT SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14803 WALLACE ST
HARVEY IL
60426-2450
US

IV. Provider business mailing address

14803 WALLACE ST
HARVEY IL
60426-2450
US

V. Phone/Fax

Practice location:
  • Phone: 630-926-7147
  • Fax:
Mailing address:
  • Phone: 630-926-7147
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: AMELIA MAE GRIFFIN
Title or Position: PRESIDENT
Credential: RN
Phone: 630-926-7147