Provider Demographics
NPI:1649393539
Name:CUMMINGS CARE MANAGEMENT, INC.
Entity Type:Organization
Organization Name:CUMMINGS CARE MANAGEMENT, INC.
Other - Org Name:CARING WITH PASSION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LORRAINE
Authorized Official - Middle Name:ELISE
Authorized Official - Last Name:CUMMINGS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:626-201-1717
Mailing Address - Street 1:PO BOX 652
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:CA
Mailing Address - Zip Code:92223-0652
Mailing Address - Country:US
Mailing Address - Phone:626-201-1717
Mailing Address - Fax:951-797-0266
Practice Address - Street 1:1145 S GRAND AVE
Practice Address - Street 2:
Practice Address - City:GLENDORA
Practice Address - State:CA
Practice Address - Zip Code:91740-5013
Practice Address - Country:US
Practice Address - Phone:626-201-1717
Practice Address - Fax:951-797-0266
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-07
Last Update Date:2024-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS 17288251B00000X
251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
CASW 17288 BMedicare ID - Type UnspecifiedPROVIDER LEGACY NUMBER