Provider Demographics
NPI:1902003023
Name:CARE MANAGEMENT 2000
Entity Type:Organization
Organization Name:CARE MANAGEMENT 2000
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:SOSAMMA
Authorized Official - Middle Name:
Authorized Official - Last Name:STANGO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:973-655-0120
Mailing Address - Street 1:258 PARK ST
Mailing Address - Street 2:
Mailing Address - City:UPPER MONTCLAIR
Mailing Address - State:NJ
Mailing Address - Zip Code:07043-1765
Mailing Address - Country:US
Mailing Address - Phone:973-655-0120
Mailing Address - Fax:973-655-0402
Practice Address - Street 1:258 PARK ST
Practice Address - Street 2:
Practice Address - City:UPPER MONTCLAIR
Practice Address - State:NJ
Practice Address - Zip Code:07043-1765
Practice Address - Country:US
Practice Address - Phone:973-655-0120
Practice Address - Fax:973-655-0402
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP0206600251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7032005Medicaid