A-1 Care Coordination LLC
Organization Active NPI Case Management Agency · Folcroft, PA
NPI 1013483411 · NPPES record last updated Oct 30, 2018
Key facts
- NPI
- 1013483411
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Case Management Agency 251B00000X
- Legal business name
- A-1 CARE COORDINATION LLC
- Practice address
- 527B Ashland Ave
Folcroft, PA 19032-1204 - Phone
- (678) 462-9485
- NPI assigned
- Oct 23, 2018
- Organization subpart
- No
Authorized official
- Name
- Jimmy Olumuyiwa Omojokun
- Title
- Director
- Phone
- (678) 462-9485
National Provider Directory
Locations
27 S 5th St
Darby, PA 19023
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Yes |
Addresses
Primary practice location
527B Ashland Ave
Folcroft, PA 19032-1204
Mailing address
27 South 5TH Street, Darby PA 19023
Darby, PA 19023-1204
Phone (678) 462-9485
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 831417668 | Medicaid | PA |
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All providers in Folcroft, PA · Case Management Agency in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 30, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.