NPIMap

Organization Active NPI

DDM Case Management Services LLC

  • Community/Behavioral Health Agency
  • Louisville, KY
National Provider Identifier
1700539350
Registry record updated Apr 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
DDM CASE MANAGEMENT SERVICES LLC
Practice address
2210 Meadow Drive
Louisville, KY 40218-1323
Phone
(502) 419-8268
NPI assigned
Feb 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2023

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

Authorized official

Name
Ms. Sperlisha Victoria AyeniNPI 1750979746
Title
Compliance/Operations Officer
Phone
(502) 384-6009

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2210 Meadow Drive
Louisville, KY 40218-1323

Mailing address

2210 Meadow Drive
Louisville, KY 40218-1323
Phone (502) 384-6009

Other identifiers 1

IdentifierTypeStateIssuer
7100866410MedicaidKY

Other names 1

  • DDM Doing business as

National Provider Directory

National Provider Directory

Locations

2210 Meadow Dr
Louisville, KY 40218
Phone (502) 384-6009

Practitioners & affiliated clinicians

Practitioners 2

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": "1643760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682380800000",
    "number": "1700539350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 MEADOW DRIVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402181323",
            "telephone_number": "502-384-6009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 MEADOW DRIVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402181323",
            "telephone_number": "502-419-8268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DDM CASE MANAGEMENT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-02",
        "last_updated": "2023-04-25",
        "certification_date": "2023-02-13",
        "status": "A",
        "authorized_official_last_name": "AYENI",
        "authorized_official_first_name": "SPERLISHA",
        "authorized_official_middle_name": "VICTORIA",
        "authorized_official_title_or_position": "COMPLIANCE/OPERATIONS OFFICER",
        "authorized_official_telephone_number": "502-384-6009",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100866410",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DDM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; 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.