Active NPI
Community Care Management Services
- Case Management Agency
- Little Rock, AR
National Provider Identifier
1679081525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- COMMUNITY CARE MANAGEMENT SERVICES
- Practice address
- 505 Cambridge Place Dr
Little Rock, AR 72227-2169 - Phone
- (501) 813-0879
- Fax
- (501) 313-5355
- NPI assigned
- Jan 12, 2018
- Last updated
- Apr 9, 2018
- 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
- Roberta Henry, LPN, CPC, CPC-I
- Title
- Owner/President
- Phone
- (501) 813-0879
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | NU | Primary |
Addresses
Primary practice location
505 Cambridge Place Dr
Little Rock, AR 72227-2169
Mailing address
505 Cambridge Place Dr
Little Rock, AR 72227-2169
Phone (501) 813-0879
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Family Nurse Practitioner
- North Little Rock, AR
- NPI 1790660785
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515715200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1523232000000",
"number": "1679081525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 CAMBRIDGE PLACE DR",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722272169",
"telephone_number": "501-813-0879",
"fax_number": "501-313-5355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 CAMBRIDGE PLACE DR",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722272169",
"telephone_number": "501-813-0879",
"fax_number": "501-313-5355"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNITY CARE MANAGEMENT SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2018-01-12",
"last_updated": "2018-04-09",
"status": "A",
"authorized_official_last_name": "HENRY",
"authorized_official_first_name": "ROBERTA",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "501-813-0879",
"authorized_official_credential": "LPN, CPC, CPC-I"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Little Rock, AR
- Jeramy Combs, MHPP
- Piper Noelle Combs
- Susan Clark Comer
- James Stuart Comerford, DPM
- Emily Comiskey, PTA
- Community Health and Immunization Services, LLC
- Community Life Services, Inc.
- Community Rehabilitative Services (Group)
- Community Supportive Services of Arkansas
- Compass Integrative Counseling LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.