Active NPI
Case Management Care, Inc.
- Exclusive Provider Organization
- Greensboro, NC
National Provider Identifier
1790980498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Exclusive Provider Organization
- License
- 8301074
- Legal business name
- CASE MANAGEMENT CARE, INC.
- Practice address
- 4114 Enchanted LN
Greensboro, NC 27406-6904 - Phone
- (336) 274-9862
- NPI assigned
- Jun 20, 2007
- Last updated
- Aug 22, 2020
- 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
- Mrs. Barbara I. Hendrix, MASTER OF ARTS
- Title
- Ceo
- Phone
- (336) 274-9862
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Exclusive Provider Organization | 302F00000X | 8301074 | NC | Primary |
Addresses
Primary practice location
4114 Enchanted LN
Greensboro, NC 27406-6904
Mailing address
PO Box 16851
4114 Enchanted Lane
Greensboro, NC 27416-0851
Phone (336) 691-0652
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8301074 | Other | NC | PROVIDER ID |
National Provider Directory
National Provider Directory- Tax ID family
- Case Management Care Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Greensboro, NC
- NPI 1881038289
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182297600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1790980498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 16851",
"address_2": "4114 ENCHANTED LANE",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274160851",
"telephone_number": "336-691-0652",
"fax_number": "336-691-5750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4114 ENCHANTED LN",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274066904",
"telephone_number": "336-274-9862"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CASE MANAGEMENT CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-20",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HENDRIX",
"authorized_official_first_name": "BARBARA",
"authorized_official_middle_name": "I.",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "336-274-9862",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MASTER OF ARTS"
},
"taxonomies": [
{
"code": "302F00000X",
"taxonomy_group": "",
"desc": "Exclusive Provider Organization",
"state": "NC",
"license": "8301074",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER ID",
"identifier": "8301074",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.