Organization Active NPI

Case Management Services LLC

  • Developmentally Disabled Services Day Training Agency
  • Statesville, NC
National Provider Identifier
1407027139
Registry record updated Aug 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
CASE MANAGEMENT SERVICES LLC
Practice address
2504 Newton Drive
Statesville, NC 28677-3053
Phone
(704) 871-2955
Fax
(704) 871-2957
NPI assigned
Mar 20, 2008
Last updated
Aug 20, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2015

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

Authorized official

Name
Jerald Thomas Snow
Title
Member/Manager of Clinical Services
Phone
(704) 871-2955

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X C200802200738 NC
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

2504 Newton Drive
Statesville, NC 28677-3053

Mailing address

2504 Newton Dr
Statesville, NC 28677-3053
Phone (704) 871-2955

National Provider Directory

National Provider Directory

Locations

2504 Newton Dr
Statesville, NC 28677
Phone (704) 871-2955

NPI Registry JSON

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

{
    "created_epoch": "1205971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440028800000",
    "number": "1407027139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2504 NEWTON DR",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286773053",
            "telephone_number": "704-871-2955",
            "fax_number": "704-871-2957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 NEWTON DRIVE",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286773053",
            "telephone_number": "704-871-2955",
            "fax_number": "704-871-2957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASE MANAGEMENT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-20",
        "last_updated": "2015-08-20",
        "status": "A",
        "authorized_official_last_name": "SNOW",
        "authorized_official_first_name": "JERALD",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "MEMBER/MANAGER OF CLINICAL SERVICES",
        "authorized_official_telephone_number": "704-871-2955"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NC",
            "license": "C200802200738",
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2015; 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.