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1407027139 NPI number — CASE MANAGEMENT SERVICES LLC

NPI Number: 1407027139
Health Care Provider/Practitioner: CASE MANAGEMENT SERVICES LLC

Information about “1407027139” NPI (CASE MANAGEMENT SERVICES LLC) exists in 1407027139 in HTML format HTML  |  1407027139 in plain Text format TXT  |  1407027139 in PDF (Portable Document Format) PDF  |  1407027139 in an XML format XML  formats.

NPI Number : 1407027139 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1407027139",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "CASE MANAGEMENT SERVICES LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2504 NEWTON DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "STATESVILLE",
    "MailingAddressStateName": "NC",
    "MailingAddressPostalCode": "28677-3053",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "704-871-2955",
    "MailingAddressFaxNumber": "704-871-2957",
    "FirstLinePracticeLocationAddress": "2504 NEWTON DRIVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "STATESVILLE",
    "PracticeLocationAddressStateName": "NC",
    "PracticeLocationAddressPostalCode": "28677-3053",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "704-871-2955",
    "PracticeLocationAddressFaxNumber": "704-871-2957",
    "EnumerationDate": "03/20/2008",
    "LastUpdateDate": "08/20/2015",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "SNOW",
    "AuthorizedOfficialFirstName": "JERALD",
    "AuthorizedOfficialMiddleName": "THOMAS",
    "AuthorizedOfficialTitle": "MEMBER/MANAGER OF CLINICAL SERVICES",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "704-871-2955",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "251B00000X",
          "TaxonomyName": "Case Management Agency",
          "LicenseNumber": "C200802200738",
          "LicenseNumberStateCode": "NC",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "251C00000X",
          "TaxonomyName": "Developmentally Disabled Services Day Training Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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