Purple Hearts Case Management Services

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

679455 Issued in TX

Legal business name

PURPLE HEARTS CASE MANAGEMENT SERVICES

Practice address

365 Uptown Blvd
8102
Cedar Hill, TX 75104-3514

Phone

(214) 407-3249

NPI assigned

Oct 27, 2016

Last updated

Oct 27, 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

Ms. Raven Elliott Modisette, RNNPI 1225580293

Title

Case Manager

Phone

(214) 407-3249

Specialties & licenses 1

Addresses

Other names 1

• Purple Hearts Case Management Services Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Raven Modisette, FNP-C,PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Arlington, TX
  • NPI 1225580293
  NPD (past) Authorized official

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

{
    "created_epoch": "1477526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477526400000",
    "number": "1912459777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 UPTOWN BLVD",
            "address_2": "8102",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751043514",
            "telephone_number": "214-407-3249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 UPTOWN BLVD",
            "address_2": "8102",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751043514",
            "telephone_number": "214-407-3249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURPLE HEARTS CASE MANAGEMENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-27",
        "last_updated": "2016-10-27",
        "status": "A",
        "authorized_official_last_name": "MODISETTE",
        "authorized_official_first_name": "RAVEN",
        "authorized_official_middle_name": "ELLIOTT",
        "authorized_official_title_or_position": "CASE MANAGER",
        "authorized_official_telephone_number": "214-407-3249",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "TX",
            "license": "679455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Purple Hearts Case Management Services",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Case Management Agency in Cedar Hill, TX
• Providers in Cedar Hill, TX by specialty
• Case Management Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.