Organization Active NPI

Case Management Professionals, Inc

  • Case Management Agency
  • Ewa Beach, HI
National Provider Identifier
1104903699
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
HCBS 02-3 Issued in HI
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
506024-01MedicaidHI

National Provider Directory

National Provider Directory
Tax ID family
Case Management Professionals Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

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.

Verify at the official NPI Registry.