Provider Demographics
NPI:1598395352
Name:ANEW CASE MANAGEMENT GROUP
Entity Type:Organization
Organization Name:ANEW CASE MANAGEMENT GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:REGINA
Authorized Official - Middle Name:DESHAE
Authorized Official - Last Name:KAISER
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:903-224-5816
Mailing Address - Street 1:3913 SABINE AVE
Mailing Address - Street 2:
Mailing Address - City:TEXARKANA
Mailing Address - State:TX
Mailing Address - Zip Code:75503-2840
Mailing Address - Country:US
Mailing Address - Phone:903-224-5816
Mailing Address - Fax:903-307-5401
Practice Address - Street 1:3913 SABINE AVE
Practice Address - Street 2:
Practice Address - City:TEXARKANA
Practice Address - State:TX
Practice Address - Zip Code:75503-2840
Practice Address - Country:US
Practice Address - Phone:903-224-5816
Practice Address - Fax:903-307-5401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-21
Last Update Date:2020-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1598395352Medicaid