Provider Demographics
NPI:1609223122
Name:TOTAL CARE MANAGEMENT LLC
Entity Type:Organization
Organization Name:TOTAL CARE MANAGEMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:BRADLEY
Authorized Official - Suffix:
Authorized Official - Credentials:JD
Authorized Official - Phone:484-902-0123
Mailing Address - Street 1:3801 GERMANTOWN PIKE
Mailing Address - Street 2:SUITE 201 C
Mailing Address - City:COLLEGEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19426-4019
Mailing Address - Country:US
Mailing Address - Phone:484-902-0123
Mailing Address - Fax:484-902-0120
Practice Address - Street 1:3801 GERMANTOWN PIKE
Practice Address - Street 2:SUITE 201 C
Practice Address - City:COLLEGEVILLE
Practice Address - State:PA
Practice Address - Zip Code:19426-4019
Practice Address - Country:US
Practice Address - Phone:484-902-0123
Practice Address - Fax:484-902-0120
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-16
Last Update Date:2016-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management