Provider Demographics
NPI:1093223489
Name:R&A CASE MANAGEMENT, LLC.
Entity Type:Organization
Organization Name:R&A CASE MANAGEMENT, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CHADRICK
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:CAUDILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:606-634-3620
Mailing Address - Street 1:PO BOX 606
Mailing Address - Street 2:
Mailing Address - City:ISOM
Mailing Address - State:KY
Mailing Address - Zip Code:41824-0606
Mailing Address - Country:US
Mailing Address - Phone:606-634-3620
Mailing Address - Fax:606-476-9871
Practice Address - Street 1:7717 HIGHWAY 15 SOUTH
Practice Address - Street 2:
Practice Address - City:JEFF
Practice Address - State:KY
Practice Address - Zip Code:41751
Practice Address - Country:US
Practice Address - Phone:606-476-9874
Practice Address - Fax:606-476-9871
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-19
Last Update Date:2018-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty