MEDICARE: ALL CASE MANAGEMENT AND SOCIAL SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251B00000X	Case Management Agency	39070	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1649382367
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALL CASE MANAGEMENT AND SOCIAL SERVICES

Provider Business Mailing Address
First Line	:	PO BOX 40362
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-1362
Country	:	US
Telephone Number	:	210-535-9427
Fax Number	:	210-657-3876

Provider Business Practice Location Address
First Line	:	5570 KISSING OAK ST
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78247-1510
Country	:	US
Telephone Number	:	210-535-9427
Fax Number	:	210-657-3876

Authorized Official
Title or Position	:	SOCIAL WORKER/OWNER
Name	:	MRS. NORMA T. LOPEZ
Credential	:	LMSW
Telephone Number	:	210-535-9427

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	08/09/2010

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