Organization Active NPI

Case Management Servcies by Nicole Nowicki RN

Doing business as Rehab Innovations Case Management

  • Case Management Registered Nurse
  • Waterford, MI
National Provider Identifier
1538730064
Registry record updated Jul 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
Legal business name
CASE MANAGEMENT SERVCIES BY NICOLE NOWICKI RN
Doing business as
Rehab Innovations Case Management
Practice address
4489 W Walton Blvd
Waterford, MI 48329-4076
Phone
(248) 224-5010
Fax
(888) 551-1057
NPI assigned
Jul 6, 2021
Last updated
Jul 6, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2021

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

Authorized official

Name
Mrs. Nicole Mary Ulrich, RN, CCM, CNLCPNPI 1073134441
Title
Ceo
Phone
(248) 224-5010

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X Primary
Case Management Agency 251B00000X

Addresses

Primary practice location

4489 W Walton Blvd
Waterford, MI 48329-4076

Mailing address

4489 W Walton Blvd
Waterford, MI 48329-4076
Phone (248) 224-5010

Other names 1

  • Rehab Innovations Case Management Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1625529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625529600000",
    "number": "1538730064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4489 W WALTON BLVD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483294076",
            "telephone_number": "248-224-5010",
            "fax_number": "888-551-1057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4489 W WALTON BLVD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483294076",
            "telephone_number": "248-224-5010",
            "fax_number": "888-551-1057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASE MANAGEMENT SERVCIES BY NICOLE NOWICKI RN",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-06",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A",
        "authorized_official_last_name": "ULRICH",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "248-224-5010",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, CCM, CNLCP"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rehab Innovations Case Management",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waterford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2021; 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.