NPIMap

Organization Active NPI

Micah'S Management Services

  • Case Management Agency
  • Charlotte, NC
National Provider Identifier
1912051913
Registry record updated Jan 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
251B00000X Issued in NC
Legal business name
MICAH'S MANAGEMENT SERVICES
Practice address
1909 J N Pease PL
Suite 204
Charlotte, NC 28262-4558
Phone
(704) 712-8454
Fax
(704) 532-4414
NPI assigned
Jan 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2009

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

Authorized official

Name
Paulette L Washington
Title
Owner
Phone
(704) 712-8454

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 251B00000X NC Primary

Addresses

Primary practice location

1909 J N Pease PL
Suite 204
Charlotte, NC 28262-4558

Mailing address

1909 J N Pease PL
Suite 204
Charlotte, NC 28262-4558
Phone (704) 712-8454

Other identifiers 1

IdentifierTypeStateIssuer
8301861MedicaidNC

Other names 1

  • Micah's Angels Inc. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Micah'S Angels Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233100800000",
    "number": "1912051913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 J N PEASE PL",
            "address_2": "SUITE 204",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282624558",
            "telephone_number": "704-712-8454",
            "fax_number": "704-532-4414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 J N PEASE PL",
            "address_2": "SUITE 204",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282624558",
            "telephone_number": "704-712-8454",
            "fax_number": "704-532-4414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICAH'S MANAGEMENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2009-01-28",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "PAULETTE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-712-8454"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NC",
            "license": "251B00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301861",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Micah's Angels Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2009; 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.