Active NPI
Case Management Professionals, Inc
- Case Management Agency
- Ewa Beach, HI
National Provider Identifier
1104903699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- License
- HCBS 02-3
- Legal business name
- CASE MANAGEMENT PROFESSIONALS, INC
- Practice address
- 91-1001 Kaimalie St
#201
Ewa Beach, HI 96706-6247 - Phone
- (808) 689-1937
- Fax
- (808) 689-1933
- NPI assigned
- Nov 1, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Agnes D Reyes, R.N
- Title
- President
- Phone
- (808) 689-1937
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | HCBS 02-3 | HI | Primary |
Addresses
Primary practice location
91-1001 Kaimalie St
#201
Ewa Beach, HI 96706-6247
Mailing address
91-1001 Kaimalie St
#201
Ewa Beach, HI 96706-6247
Phone (808) 689-1937
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 506024-01 | Medicaid | HI |
National Provider Directory
National Provider Directory- Tax ID family
- Case Management Professionals Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Case Management Agency
- Ewa Beach, HI
- NPI 1437324050
Locations
91-1001 Kaimalie St
Ste 201
Ewa Beach, HI 96706
Phone (808) 689-1937
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1104903699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "91-1001 KAIMALIE ST",
"address_2": "#201",
"city": "EWA BEACH",
"state": "HI",
"postal_code": "967066247",
"telephone_number": "808-689-1937",
"fax_number": "808-689-1933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "91-1001 KAIMALIE ST",
"address_2": "#201",
"city": "EWA BEACH",
"state": "HI",
"postal_code": "967066247",
"telephone_number": "808-689-1937",
"fax_number": "808-689-1933"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CASE MANAGEMENT PROFESSIONALS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-01",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "REYES",
"authorized_official_first_name": "AGNES",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "808-689-1937",
"authorized_official_credential": "R.N"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "HI",
"license": "HCBS 02-3",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "506024-01",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ewa Beach, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.