Care Coordination Management Group

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

CARE COORDINATION MANAGEMENT GROUP

Practice address

7775 134TH St
Sebastian, FL 32958-3740

Phone

(772) 473-4151

NPI assigned

Jan 28, 2022

Last updated

Jan 28, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dena Cassidente

Title

Co Owner

Phone

(772) 539-2680

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1643328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643328000000",
    "number": "1215680475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7775 134TH ST",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329583740",
            "telephone_number": "772-473-4151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7775 134TH ST",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329583740",
            "telephone_number": "772-473-4151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE COORDINATION MANAGEMENT GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-28",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A",
        "authorized_official_last_name": "CASSIDENTE",
        "authorized_official_first_name": "DENA",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "772-539-2680"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109892700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in Sebastian, FL
• Providers in Sebastian, FL by specialty
• Case Management Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; 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.