Organization Active NPI

Case Management Care, Inc.

  • Exclusive Provider Organization
  • Greensboro, NC
National Provider Identifier
1790980498
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
8301074 Issued in NC
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
8301074OtherNCPROVIDER ID

National Provider Directory

National Provider Directory
Tax ID family
Case Management Care Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.