MEDICARE: A&R CASE MANAGEMENT

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	251C00000X	Developmentally Disabled Services Day Training Agency	3A&RCASE085	ID
2	372600000X	Adult Companion
3	251B00000X	Case Management Agency

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

General Provider Information

NPI Number	:	1790845154
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A&R CASE MANAGEMENT

Provider Business Mailing Address
First Line	:	210 HOLLY ST
Second Line	:
City	:	NAMPA
State	:	ID
Zip	:	83686-5104
Country	:	US
Telephone Number	:	208-463-9313
Fax Number	:	208-442-0857

Provider Business Practice Location Address
First Line	:	210 HOLLY ST
Second Line	:
City	:	NAMPA
State	:	ID
Zip	:	83686-5104
Country	:	US
Telephone Number	:	208-463-9313
Fax Number	:	208-442-0857

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	JOANNE ANDERSON
Credential	:
Telephone Number	:	208-463-9313

Provider Enumeration Date	:	12/08/2006
Last Update Date	:	01/20/2010

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Directions to “A&R CASE MANAGEMENT ” Practice Location

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