Provider Demographics
NPI:1326116476
Name:CASE MANAGEMENT INC
Entity Type:Organization
Organization Name:CASE MANAGEMENT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:FLORENCE
Authorized Official - Middle Name:
Authorized Official - Last Name:HERVERY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-821-5835
Mailing Address - Street 1:3171 DIRECTORS ROW
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38131-0405
Mailing Address - Country:US
Mailing Address - Phone:901-821-5600
Mailing Address - Fax:901-821-5864
Practice Address - Street 1:3171 DIRECTORS ROW
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38131-0405
Practice Address - Country:US
Practice Address - Phone:901-821-5600
Practice Address - Fax:901-821-5864
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-30
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNL2140866334251B00000X
261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3711813Medicare ID - Type Unspecified