Provider Demographics
NPI:1427578673
Name:ADVANTAGE CASE MANAGEMENT
Entity Type:Organization
Organization Name:ADVANTAGE CASE MANAGEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:COOMES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-295-6241
Mailing Address - Street 1:1169 EASTERN PKWY STE 2256
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40217-1479
Mailing Address - Country:US
Mailing Address - Phone:502-690-8207
Mailing Address - Fax:502-690-8139
Practice Address - Street 1:1169 EASTERN PKWY STE 2256
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40217-1479
Practice Address - Country:US
Practice Address - Phone:502-690-8207
Practice Address - Fax:502-690-8139
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-20
Last Update Date:2021-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty
No251B00000XAgenciesCase ManagementGroup - Multi-Specialty