Healthcare Provider Details

I. General information

NPI: 1891453346
Provider Name (Legal Business Name): ADVOKARE CASE MANAGEMENT SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2021
Last Update Date: 12/01/2021
Certification Date: 12/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 SOUTHPOINTE DR
BYRAM MS
39272-5565
US

IV. Provider business mailing address

266 WESTERN HILLS DR
JACKSON MS
39212-3215
US

V. Phone/Fax

Practice location:
  • Phone: 601-926-8026
  • Fax:
Mailing address:
  • Phone: 601-926-8026
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

Name: KATRINA MARTIN
Title or Position: DIRECTOR
Credential: RN
Phone: 601-926-8026