MEDICARE: CASE MANAGEMENT ADVOCATES LLC

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

General Provider Information

NPI Number	:	1790491116
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CASE MANAGEMENT ADVOCATES LLC

Provider Business Mailing Address
First Line	:	PO BOX 701393
Second Line	:
City	:	PLYMOUTH
State	:	MI
Zip	:	48170-0964
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	15538 MICHIGAN AVE
Second Line	:
City	:	DEARBORN
State	:	MI
Zip	:	48126-2901
Country	:	US
Telephone Number	:	313-670-0741
Fax Number	:	313-800-7081

Authorized Official
Title or Position	:	OWNER
Name	:	FATIMA BAYDOUN
Credential	:	BSN, RN
Telephone Number	:	313-670-0741

Provider Enumeration Date	:	01/30/2023
Last Update Date	:	01/30/2023

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