Executive Case Management LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

EXECUTIVE CASE MANAGEMENT LLC

Practice address

2203 Shearwater Cir
Walled Lake, MI 48390-4254

Phone

(248) 408-0632

NPI assigned

Jul 9, 2021

Organization subpart

No

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

Authorized official

Name

Karen Ferguson Taylor, RN BSN

Title

Owner

Phone

(248) 408-0632

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1625788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625788800000",
    "number": "1164093126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 785",
            "city": "UNION LAKE",
            "state": "MI",
            "postal_code": "483870785",
            "telephone_number": "248-408-0632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2203 SHEARWATER CIR",
            "city": "WALLED LAKE",
            "state": "MI",
            "postal_code": "483904254",
            "telephone_number": "248-408-0632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXECUTIVE CASE MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-09",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A",
        "authorized_official_last_name": "FERGUSON TAYLOR",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-408-0632",
        "authorized_official_credential": "RN BSN"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.