Unidas Case Management, Inc.

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

UNIDAS CASE MANAGEMENT, INC.

Practice address

2403 San Mateo Blvd NE
W-17
Albuquerque, NM 87110-4058

Phone

(505) 268-8166

NPI assigned

Jan 23, 2007

Organization subpart

No

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

Authorized official

Name

Eric Probert Hankla

Title

Co-Owner Vice-President

Phone

(505) 254-1415

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104970573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2403 SAN MATEO BLVD NE",
            "address_2": "W-17",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871104058",
            "telephone_number": "505-268-8166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2403 SAN MATEO BLVD NE",
            "address_2": "W-17",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871104058",
            "telephone_number": "505-268-8166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIDAS CASE MANAGEMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HANKLA",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "PROBERT",
        "authorized_official_title_or_position": "CO-OWNER VICE-PRESIDENT",
        "authorized_official_telephone_number": "505-254-1415"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T4945",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D3434",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• 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.