Organization Active NPI

Premiere Case Management LLC

  • Health Maintenance Organization
  • Detroit, MI
National Provider Identifier
1508167859
Registry record updated Nov 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
PREMIERE CASE MANAGEMENT LLC
Practice address
3430 E Jefferson Ave
644
Detroit, MI 48207-4233
Phone
(313) 263-1666
Fax
(313) 447-2222
NPI assigned
Nov 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2010

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

Authorized official

Name
Ms. Monique Winfrey
Title
Ceo
Phone
(313) 263-1666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X Primary

Addresses

Primary practice location

3430 E Jefferson Ave
644
Detroit, MI 48207-4233

Mailing address

3430 E Jefferson Ave
644
Detroit, MI 48207-4233
Phone (313) 263-1666

National Provider Directory

National Provider Directory

Locations

3430 E Jefferson Ave
#644
Detroit, MI 48207
Phone (313) 263-1666

NPI Registry JSON

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

{
    "created_epoch": "1288742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288742400000",
    "number": "1508167859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3430 E JEFFERSON AVE",
            "address_2": "644",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482074233",
            "telephone_number": "313-263-1666",
            "fax_number": "313-447-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3430 E JEFFERSON AVE",
            "address_2": "644",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482074233",
            "telephone_number": "313-263-1666",
            "fax_number": "313-447-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIERE CASE MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-03",
        "last_updated": "2010-11-03",
        "status": "A",
        "authorized_official_last_name": "WINFREY",
        "authorized_official_first_name": "MONIQUE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "313-263-1666",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2010; 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.