Active NPI
Independent Case Management
- Early Intervention Provider Agency
- Little Rock, AR
National Provider Identifier
1528408267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 196903706 | Medicaid | AR |
National Provider Directory
National Provider Directory- Tax ID family
- Icm
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Developmentally Disabled Services Day Training Agency
- Little Rock, AR
- NPI 1962547745
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.