Organization Active NPI

Custom Case Management Inc

  • Case Management Agency
  • Somerset, KY
National Provider Identifier
1285908202
Registry record updated Mar 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
CUSTOM CASE MANAGEMENT INC
Practice address
237 Dakota Dr
Somerset, KY 42501-2425
Phone
(606) 676-0954
NPI assigned
Mar 8, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2012

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

Authorized official

Name
Ms. Dakota Radford, BS
Title
President
Phone
(606) 676-0954

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

237 Dakota Dr
Somerset, KY 42501-2425

Mailing address

237 Dakota Dr
Somerset, KY 42501-2425
Phone (606) 676-0954

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1331164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331164800000",
    "number": "1285908202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 DAKOTA DR",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425012425",
            "telephone_number": "606-676-0954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 DAKOTA DR",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425012425",
            "telephone_number": "606-676-0954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUSTOM CASE MANAGEMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-08",
        "last_updated": "2012-03-08",
        "status": "A",
        "authorized_official_last_name": "RADFORD",
        "authorized_official_first_name": "DAKOTA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "606-676-0954",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2012; 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.