Acumen Fiscal Agent LLC
Organization Active NPI Community/Behavioral Health Agency · Mesa, AZ
NPI 1720145378 · NPPES record last updated Jun 26, 2023
Key facts
- NPI
- 1720145378
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- ACUMEN FISCAL AGENT LLC
- Practice address
- 5416 E Baseline Rd Ste 200
Mesa, AZ 85206-4704 - Phone
- (480) 295-3328
- Fax
- (480) 339-2123
- NPI assigned
- Jan 2, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Joshua J Auer
- Title
- Ceo
- Phone
- (877) 211-3738
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Acumen Fiscal Agent LLC
Locations
4542 E Inverness Ave
Mesa, AZ 85206
Phone (480) 526-4366
287 6th St E
Ste 270
Saint Paul, MN 55101
Phone (480) 295-3328
1130 E Arapaho Rd
Ste 525
Richardson, TX 75081
Phone (866) 759-9524
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator |
171M00000X | |||
| Home Health Agency | 251E00000X | |||
| Nursing Care Agency | 251J00000X | |||
| Community/Behavioral Health Agency | 251S00000X | Yes | ||
| Supports Brokerage Agency | 251X00000X | |||
| In Home Supportive Care Agency | 253Z00000X |
Addresses
Primary practice location
5416 E Baseline Rd Ste 200
Mesa, AZ 85206-4704
Mailing address
5416 E Baseline Rd Ste 200
Mesa, AZ 85206-4704
Phone (480) 295-3328
Other practice location 1
301 McCullough Dr Ste 400
Charlotte, NC 28262-1336
Phone (866) 811-3099
Other practice location 2
287 6th St E Ste 270
Saint Paul, MN 55101-1663
Phone (480) 295-3328
Other practice location 3
1130 E Arapaho Rd Ste 525
Richardson, TX 75081-2358
Phone (866) 759-9524
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 116315900 | Medicaid | WY | |
| 3236199A | Medicaid | GA | |
| 717669748B | Medicaid | GA | |
| 717669748G | Medicaid | GA | |
| 717669748C | Medicaid | GA | |
| 717669748I | Medicaid | GA | |
| 717669748A | Medicaid | GA | |
| 717669748E | Medicaid | GA | |
| 3240064A | Medicaid | GA | |
| 717669748D | Medicaid | GA | |
| 717669748F | Medicaid | GA | |
| 717669748H | Medicaid | GA |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Sharefle | Other |
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All providers in Mesa, AZ · Community/Behavioral Health Agency in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 26, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.