Case Management Services of Brevard, Inc.

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

CASE MANAGEMENT SERVICES OF BREVARD, INC.

Practice address

2500 Woodlake Dr NE Apt 101
Palm Bay, FL 32905-3239

Phone

(132) 126-5164

NPI assigned

Sep 6, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Keith Heinly, BSW, MDIV

Title

Ceo

Phone

(321) 265-1647

Specialties & licenses 1

Addresses

Other names 1

• Case Management Services of Brevard, Inc. Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1662422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662422400000",
    "number": "1396466652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 WOODLAKE DR NE APT 101",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329053239",
            "telephone_number": "132-126-5164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 WOODLAKE DR NE APT 101",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329053239",
            "telephone_number": "132-126-5164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASE MANAGEMENT SERVICES OF BREVARD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-06",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A",
        "authorized_official_last_name": "HEINLY",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "321-265-1647",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BSW, MDIV"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "keith@cmsb.network",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2500 Woodlake Dr NE Apt 101",
            "city": "Palm Bay",
            "state": "FL",
            "country_code": "US",
            "postal_code": "329053239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Case Management Services of Brevard, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tammie S. Carpenter, LMT
• Harriet Z. Carr, LCSW
• Rachel Chanteil Cartechine, M.D.
• Charles Edward Carter
• Cinthya Carter
• Alex Martin Castaneda
• Yaritza Ernestina Castellanos de Belliard, M.D
• Audrey Castles
• German Castro, M.D.
• Nenita Llorca Castro, MD

• All providers in Palm Bay, FL
• Case Management Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.