Organization Active NPI

Lake Case Management Services LLC

  • Case Management Agency
  • Miami Lakes, FL
National Provider Identifier
1164002234
Registry record updated Apr 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
LAKE CASE MANAGEMENT SERVICES LLC
Practice address
8140 NW 155TH St Ste 101
Miami Lakes, FL 33016-5847
Phone
(305) 602-8193
Fax
(305) 602-8194
NPI assigned
Apr 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2021

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

Authorized official

Name
Jorge Alberto Diaz
Title
President
Phone
(786) 230-5794

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

8140 NW 155TH St Ste 101
Miami Lakes, FL 33016-5847

Mailing address

8140 NW 155TH St Ste 101
Miami Lakes, FL 33016-5847
Phone (305) 602-8193

National Provider Directory

National Provider Directory

Locations

8140 NW 155th St
Ste 101
Miami Lakes, FL 33016
Phone (305) 602-8193

NPI Registry JSON

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

{
    "created_epoch": "1618185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618185600000",
    "number": "1164002234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8140 NW 155TH ST STE 101",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330165847",
            "telephone_number": "305-602-8193",
            "fax_number": "305-602-8194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8140 NW 155TH ST STE 101",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330165847",
            "telephone_number": "305-602-8193",
            "fax_number": "305-602-8194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE CASE MANAGEMENT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-12",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "ALBERTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-230-5794"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; 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.