Healthcare Provider Details

I. General information

NPI: 1861322448
Provider Name (Legal Business Name): STREAMLINE CASE MANAGEMENT AND SUPPORT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

70 POPLAR LN
LONDON KY
40741-8331
US

IV. Provider business mailing address

70 POPLAR LN
LONDON KY
40741-8331
US

V. Phone/Fax

Practice location:
  • Phone: 606-657-8672
  • Fax: 606-657-8672
Mailing address:
  • Phone: 606-657-8672
  • Fax: 606-657-8672

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 Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385HR2065X
TaxonomyChild Physical Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

Name: MRS. JUDI DIANE SALVA
Title or Position: HUMAN SERVICE WORKER
Credential: SALVA
Phone: 606-657-8672