Professional Case Coordination Services LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

PROFESSIONAL CASE COORDINATION SERVICES LLC

Practice address

9798 Coors Blvd BLDG D
Albuquerque, NM 87114

Phone

(505) 715-3708

Fax

(505) 207-8590

NPI assigned

Dec 28, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Daniel Paul Romero

Title

Ceo/Director

Phone

(505) 715-3708

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1482883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635465600000",
    "number": "1982149043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 67261",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871937261",
            "telephone_number": "505-715-3708",
            "fax_number": "505-207-8590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9798 COORS BLVD BLDG D",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87114",
            "telephone_number": "505-715-3708",
            "fax_number": "505-207-8590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL CASE COORDINATION SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-28",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-29",
        "status": "A",
        "authorized_official_last_name": "ROMERO",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "CEO/DIRECTOR",
        "authorized_official_telephone_number": "505-715-3708",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NM",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "62136763",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica R Prochnow, RNFA
• Jennifer Ann Proctor, CNP
• Kathleen Ynez Proctor, M.S., CCC-SLP
• Carl C. Profazi, D.D.S.
• Professional Case Coordination and Consultation Inc
• Professional Wound Specialists PLLC
• Trent Lee Proffitt, M.D.
• Gerald Frank Prohaska, DDS,MS
• Erica Prokopich, NP-C
• Prospera Healthcare New Mexico LLC

• Case Management Agency in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Case Management Agency in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2021; 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.