Active NPI
Case Management Services LLC
- Developmentally Disabled Services Day Training Agency
- Statesville, NC
National Provider Identifier
1407027139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- 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, 2015
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.