Provider Demographics
NPI:1285030445
Name:SOAR CASE MANAGEMENT SERVICES, INC.
Entity Type:Organization
Organization Name:SOAR CASE MANAGEMENT SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LALENA
Authorized Official - Middle Name:FLOREK
Authorized Official - Last Name:LAMPE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:608-446-9491
Mailing Address - Street 1:4513 MILWAUKEE ST
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53714-2132
Mailing Address - Country:US
Mailing Address - Phone:608-287-0839
Mailing Address - Fax:608-287-0840
Practice Address - Street 1:4513 MILWAUKEE ST
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53714-2132
Practice Address - Country:US
Practice Address - Phone:608-287-0839
Practice Address - Fax:608-287-0840
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-14
Last Update Date:2023-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI7857123251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI1467657429Medicaid