Provider Demographics
NPI:1932510641
Name:TBI CARE-N-CASE MANAGEMENT INC
Entity Type:Organization
Organization Name:TBI CARE-N-CASE MANAGEMENT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DIONNE
Authorized Official - Middle Name:
Authorized Official - Last Name:RICHARDSON
Authorized Official - Suffix:
Authorized Official - Credentials:BS CM MSW
Authorized Official - Phone:248-262-7014
Mailing Address - Street 1:29501 GREENFIELD RD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48076-2250
Mailing Address - Country:US
Mailing Address - Phone:248-262-7014
Mailing Address - Fax:248-809-3894
Practice Address - Street 1:29501 GREENFIELD RD
Practice Address - Street 2:SUITE 110
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48076-2250
Practice Address - Country:US
Practice Address - Phone:313-878-2712
Practice Address - Fax:313-305-7391
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-15
Last Update Date:2014-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI1041C0700X
171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty