Organization Active NPI

Professional Case Coordination and Consultation Inc

  • Case Management Agency
  • Albuquerque, NM
National Provider Identifier
1811014657
Registry record updated Feb 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
PROFESSIONAL CASE COORDINATION AND CONSULTATION INC
Practice address
5773 Tosca Rd NW
Albuquerque, NM 87114-3857
Phone
(505) 715-3708
Fax
(505) 508-1214
NPI assigned
Mar 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2008

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

Authorized official

Name
Daniel Paul Romero
Title
Chief Executive Officer
Phone
(505) 715-3708

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NM Primary
Home Health Agency 251E00000X NM

Addresses

Primary practice location

5773 Tosca Rd NW
Albuquerque, NM 87114-3857

Mailing address

PO Box 67216
Albuquerque, NM 87193-7216
Phone (505) 715-3708

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203811200000",
    "number": "1811014657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 67216",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871937216",
            "telephone_number": "505-715-3708",
            "fax_number": "505-508-1214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5773 TOSCA RD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871143857",
            "telephone_number": "505-715-3708",
            "fax_number": "505-508-1214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL CASE COORDINATION AND CONSULTATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2008-02-24",
        "status": "A",
        "authorized_official_last_name": "ROMERO",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "505-715-3708"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NM",
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NM",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2008; 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.