Organization Active NPI

MCM Jr Insurance

  • Case Management Agency
  • Omaha, NE
National Provider Identifier
1457723322
Registry record updated Oct 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
9723392 Issued in NE
Legal business name
MCM JR INSURANCE
Practice address
12111 Anne St
Omaha, NE 68137-2007
Phone
(402) 391-1656
NPI assigned
Oct 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2015

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

Authorized official

Name
Mickey Manley
Title
President
Phone
(402) 391-1656

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 9723392 NE Primary

Addresses

Primary practice location

12111 Anne St
Omaha, NE 68137-2007

Mailing address

12111 Anne St
Omaha, NE 68137-2007
Phone (402) 391-1656

National Provider Directory

National Provider Directory

Locations

12111 Anne St
Omaha, NE 68137
Phone (402) 391-1656

NPI Registry JSON

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

{
    "created_epoch": "1446163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446163200000",
    "number": "1457723322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12111 ANNE ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681372007",
            "telephone_number": "402-391-1656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12111 ANNE ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681372007",
            "telephone_number": "402-391-1656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCM JR INSURANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-30",
        "last_updated": "2015-10-30",
        "status": "A",
        "authorized_official_last_name": "MANLEY",
        "authorized_official_first_name": "MICKEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-391-1656"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NE",
            "license": "9723392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.