Provider Demographics
NPI:1275105355
Name:KAP CASE MANAGEMENT
Entity Type:Organization
Organization Name:KAP CASE MANAGEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CARE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:A
Authorized Official - Last Name:KAPTUR
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:313-550-9456
Mailing Address - Street 1:PO BOX 252593
Mailing Address - Street 2:
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48325-2593
Mailing Address - Country:US
Mailing Address - Phone:313-550-9456
Mailing Address - Fax:248-928-0468
Practice Address - Street 1:4112 AUTUMN RIDGE DR
Practice Address - Street 2:
Practice Address - City:WEST BLOOMFIELD
Practice Address - State:MI
Practice Address - Zip Code:48323-2706
Practice Address - Country:US
Practice Address - Phone:313-550-9456
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-16
Last Update Date:2021-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management