NPIMap

Organization Active NPI

Choices Coordinated Care Solutions, Inc.

  • Exclusive Provider Organization
  • Rockville, MD
National Provider Identifier
1821524059
Registry record updated May 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
Legal business name
CHOICES COORDINATED CARE SOLUTIONS, INC.
Practice address
30 W Gude Dr
Suite 270
Rockville, MD 20850-1161
Phone
(240) 683-7300
Fax
(240) 683-7301
NPI assigned
May 9, 2017
Last updated
May 9, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2017

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

Authorized official

Name
Michael Goldberg
Title
Chief Executive Officer
Phone
(317) 205-8202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X NU Primary

Addresses

Primary practice location

30 W Gude Dr
Suite 270
Rockville, MD 20850-1161

Mailing address

7941 Castleway Dr
Indianapolis, IN 46250-1953
Phone (317) 726-2121

Other identifiers 1

IdentifierTypeStateIssuer
14477508254MedicaidIN

National Provider Directory

National Provider Directory
Tax ID family
Choices Coordinated Care Solutions12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

Locations

30 W Gude Dr
Ste 270
Rockville, MD 20850
Phone (240) 683-7300

NPI Registry JSON

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

{
    "created_epoch": "1494288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494288000000",
    "number": "1821524059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7941 CASTLEWAY DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462501953",
            "telephone_number": "317-726-2121",
            "fax_number": "866-849-3866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 W GUDE DR",
            "address_2": "SUITE 270",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208501161",
            "telephone_number": "240-683-7300",
            "fax_number": "240-683-7301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOICES COORDINATED CARE SOLUTIONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-09",
        "last_updated": "2017-05-09",
        "status": "A",
        "authorized_official_last_name": "GOLDBERG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "317-205-8202"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14477508254",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.