Inteq Alliance, Inc.

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

AB16-000628 Issued in GA

Legal business name

INTEQ ALLIANCE, INC.

Practice address

1737 Pineknoll LN
Albany, GA 31707-3778

Phone

(229) 603-1968

Fax

(229) 432-0671

NPI assigned

Jan 23, 2017

Organization subpart

No

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

Authorized official

Name

Samantha Elaine AkinnubiNPI 1598213944

Title

Director

Phone

(229) 603-1968

Specialties & licenses 1

Addresses

Other names 1

• ALBANY PREMIUM CARE Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samantha Elaine Akinnubi

  • Case Manager/Care Coordinator
  • Albany, GA
  • NPI 1598213944
  NPD (past) Authorized official

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

{
    "created_epoch": "1485129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485129600000",
    "number": "1770020190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1737 PINEKNOLL LN",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317073778",
            "telephone_number": "229-603-1968",
            "fax_number": "229-432-0671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1737 PINEKNOLL LN",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317073778",
            "telephone_number": "229-603-1968",
            "fax_number": "229-432-0671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEQ ALLIANCE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-23",
        "last_updated": "2017-01-23",
        "status": "A",
        "authorized_official_last_name": "AKINNUBI",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "229-603-1968"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "GA",
            "license": "AB16-000628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALBANY PREMIUM CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Case Management Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2017; 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.