Organization Active NPI

Y W B Case Management LLC

  • Case Manager/Care Coordinator
  • Dacula, GA
National Provider Identifier
1912718008
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
Y W B CASE MANAGEMENT LLC
Practice address
2968 Stockbridge Way
Dacula, GA 30019-6867
Phone
(404) 944-1189
NPI assigned
Jan 16, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Authorized official

Name
Yvonne Willis-BendolphNPI 1447069935
Title
President
Phone
(404) 944-1189

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193400000X SINGLE SPECIALTY GROUP 171M00000X Primary

Addresses

Primary practice location

2968 Stockbridge Way
Dacula, GA 30019-6867

Mailing address

PO Box 148
Dacula, GA 30019-0003
Phone (404) 944-1189

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1736985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736985600000",
    "number": "1912718008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 148",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300190003",
            "telephone_number": "404-944-1189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2968 STOCKBRIDGE WAY",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300196867",
            "telephone_number": "404-944-1189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "Y W B CASE MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-16",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A",
        "authorized_official_last_name": "WILLIS-BENDOLPH",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-944-1189"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dacula, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; 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.