Organization Active NPI

ESRD Chronic Care Management Inc

  • Case Management Agency
  • Inverness, FL
National Provider Identifier
1669183729
Registry record updated Dec 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
ESRD CHRONIC CARE MANAGEMENT INC
Practice address
40 N Robin Hood Rd
Inverness, FL 34450-2042
Phone
(954) 729-5434
NPI assigned
Dec 9, 2022
Organization subpart
Yes
Parent organization
NICOLE JOYNER ESRD CONSULTING LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 9, 2022

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

Authorized official

Name
Nicole JoynerNPI 1396399317
Title
Ceo
Phone
(954) 729-5434

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

40 N Robin Hood Rd
Inverness, FL 34450-2042

Mailing address

40 N Robin Hood Rd
Inverness, FL 34450-2042
Phone (954) 729-5434

Other names 1

  • 4 CORNERS 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.

NPI Registry JSON

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

{
    "created_epoch": "1670544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670544000000",
    "number": "1669183729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 N ROBIN HOOD RD",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344502042",
            "telephone_number": "954-729-5434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 N ROBIN HOOD RD",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344502042",
            "telephone_number": "954-729-5434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESRD CHRONIC CARE MANAGEMENT INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NICOLE JOYNER ESRD CONSULTING LLC",
        "enumeration_date": "2022-12-09",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A",
        "authorized_official_last_name": "JOYNER",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-729-5434"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "4 CORNERS CASE MANAGEMENT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Inverness, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; 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.