Healthcare Provider Details
I. General information
NPI: 1699596437
Provider Name (Legal Business Name): STRATEGIC MANAGED CARE SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/23/2024
Last Update Date: 08/26/2025
Certification Date: 08/26/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
70 RICHMOND ST FL 1
BROOKLYN NY
11208-1323
US
IV. Provider business mailing address
70 RICHMOND ST FL 1
BROOKLYN NY
11208-1323
US
V. Phone/Fax
- Phone: 917-520-7843
- Fax:
- Phone: 917-520-7843
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 172V00000X |
| Taxonomy | Community Health Worker |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
JANNITZA
D.
LUNA-DILAN
Title or Position: CEO
Credential:
Phone: 917-520-7843