Esp Case Management Professional, Inc

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

ESP CASE MANAGEMENT PROFESSIONAL, INC

Doing business as

ESP Cse Management Professionals, Inc.

Practice address

687 Beville Rd Ste a
South Daytona, FL 32119-1970

Phone

(386) 760-7533

Fax

(386) 761-5868

NPI assigned

Sep 9, 2021

Organization subpart

Yes

Parent organization

ESP CASE MANAGEMENT PROFESSIONALS, INCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mary L Fagaragan

Title

President

Phone

(386) 760-7533

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 3

• ESP Case Management Professionals, Inc. Other name
• ESP Cse Management Professionals, Inc. Doing business as
• ESP Case Management Professionals, Inc Former legal business name

Electronic endpoints 2

Tax ID family

Esp Case Management Professional Inc3 organizations share this tax ID, including this one

Part of

Esp Case Management Professional Inc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Esp Case Management Professional, Inc

  • Case Management Agency
  • South Daytona, FL
  • NPI 1285397471
  NPD tax ID
• Esp Case Management Professional, Inc

  • Community/Behavioral Health Agency
  • South Daytona, FL
  • NPI 1609083476
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1631145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696896000000",
    "number": "1033888441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "687 BEVILLE RD STE A",
            "city": "SOUTH DAYTONA",
            "state": "FL",
            "postal_code": "321191970",
            "telephone_number": "386-760-7533",
            "fax_number": "386-761-5868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "687 BEVILLE RD STE A",
            "city": "SOUTH DAYTONA",
            "state": "FL",
            "postal_code": "321191970",
            "telephone_number": "386-760-7533",
            "fax_number": "386-761-5868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESP CASE MANAGEMENT PROFESSIONAL, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ESP CASE MANAGEMENT PROFESSIONALS, INC",
        "enumeration_date": "2021-09-09",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A",
        "authorized_official_last_name": "FAGARAGAN",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-760-7533"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110146900",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "maryf@espcasemanagement.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "info@espcasemanagement.com",
            "address_1": "687 Beville Rd Ste A",
            "city": "South Daytona",
            "state": "FL",
            "country_code": "US",
            "postal_code": "321191970",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "maryf@espcasemanagement.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "687 Beville Rd Ste A",
            "city": "South Daytona",
            "state": "FL",
            "country_code": "US",
            "postal_code": "321191970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "ESP Case Management Professionals, Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ESP Case Management Professionals, Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ESP Cse Management Professionals, Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ESP Case Management Professionals, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "ESP Case Management Professionals, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Case Management Agency in South Daytona, FL
• Providers in South Daytona, FL by specialty
• Case Management Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.