Healthcare Provider Details

I. General information

NPI: 1932510641
Provider Name (Legal Business Name): TBI CARE-N-CASE MANAGEMENT INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2014
Last Update Date: 05/16/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29501 GREENFIELD RD SUITE 110
SOUTHFIELD MI
48076-2250
US

IV. Provider business mailing address

29501 GREENFIELD RD SUITE 110
SOUTHFIELD MI
48076-2250
US

V. Phone/Fax

Practice location:
  • Phone: 313-878-2712
  • Fax: 313-305-7391
Mailing address:
  • Phone: 248-262-7014
  • Fax: 248-809-3894

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateMI

VIII. Authorized Official

Name: DIONNE RICHARDSON
Title or Position: PRESIDENT
Credential: BS CM MSW
Phone: 248-262-7014