Provider Demographics
NPI:1629030812
Name:CASE MANAGEMENT ASSOCIATES LLC
Entity Type:Organization
Organization Name:CASE MANAGEMENT ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:VERA
Authorized Official - Middle Name:Y
Authorized Official - Last Name:GENINA
Authorized Official - Suffix:
Authorized Official - Credentials:MD, PHD
Authorized Official - Phone:804-873-8389
Mailing Address - Street 1:5310 MARKEL RD
Mailing Address - Street 2:SUITE 108
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23230-3030
Mailing Address - Country:US
Mailing Address - Phone:804-282-2668
Mailing Address - Fax:804-497-1228
Practice Address - Street 1:5310 MARKEL RD
Practice Address - Street 2:SUITE 108
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23230-3030
Practice Address - Country:US
Practice Address - Phone:804-282-2668
Practice Address - Fax:804-282-0056
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101057836261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty