Abl Case Management, Inc.

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

200915343 Issued in FL

Legal business name

ABL CASE MANAGEMENT, INC.

Practice address

3389 Sheridan St
Ste: 214
Hollywood, FL 33021-3606

Phone

(800) 550-1653

Fax

(866) 516-2396

NPI assigned

May 24, 2016

Last updated

May 24, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Roland Berthold

Title

Ceo/Owner

Phone

(800) 550-1653

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1464048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464048000000",
    "number": "1811345440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3389 SHERIDAN ST",
            "address_2": "STE: 214",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213606",
            "telephone_number": "800-550-1653",
            "fax_number": "866-516-2396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3389 SHERIDAN ST",
            "address_2": "STE: 214",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213606",
            "telephone_number": "800-550-1653",
            "fax_number": "866-516-2396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABL CASE MANAGEMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-24",
        "last_updated": "2016-05-24",
        "status": "A",
        "authorized_official_last_name": "BERTHOLD",
        "authorized_official_first_name": "ROLAND",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "800-550-1653",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "FL",
            "license": "200915343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL CONSULTING  CASE MANAGEMENT",
            "identifier": "251B00000X",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2016; 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.