Organization Active NPI

Independent Case Management

  • Early Intervention Provider Agency
  • Little Rock, AR
National Provider Identifier
1528408267
Registry record updated Jun 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
INDEPENDENT CASE MANAGEMENT
Practice address
13310 Kanis Rd
Little Rock, AR 72211-4008
Phone
(501) 268-0063
Fax
(501) 268-0070
NPI assigned
Jun 26, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2013

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

Authorized official

Name
Cindy Alberding
Title
Ceo
Phone
(501) 268-0063

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X AR Primary

Addresses

Primary practice location

13310 Kanis Rd
Little Rock, AR 72211-4008

Mailing address

13310 Kanis Rd
Little Rock, AR 72211-4008
Phone (501) 268-0063

Other identifiers 1

IdentifierTypeStateIssuer
196903706MedicaidAR

National Provider Directory

National Provider Directory
Tax ID family
Icm2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1372204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372204800000",
    "number": "1528408267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13310 KANIS RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722114008",
            "telephone_number": "501-268-0063",
            "fax_number": "501-268-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13310 KANIS RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722114008",
            "telephone_number": "501-268-0063",
            "fax_number": "501-268-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENT CASE MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-26",
        "last_updated": "2013-06-26",
        "status": "A",
        "authorized_official_last_name": "ALBERDING",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "501-268-0063"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "196903706",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2013; 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.