Provider Demographics
NPI:1982002218
Name:INTERCARE CASE MANAGEMENT SERVICES INC.
Entity Type:Organization
Organization Name:INTERCARE CASE MANAGEMENT SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RAMONA
Authorized Official - Middle Name:MADELIN
Authorized Official - Last Name:PADRON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-250-4169
Mailing Address - Street 1:15715 S DIXIE HWY
Mailing Address - Street 2:SUITE 218
Mailing Address - City:PALMETTO BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33157-1800
Mailing Address - Country:US
Mailing Address - Phone:786-250-4169
Mailing Address - Fax:786-732-0180
Practice Address - Street 1:15715 S DIXIE HWY
Practice Address - Street 2:SUITE 218
Practice Address - City:PALMETTO BAY
Practice Address - State:FL
Practice Address - Zip Code:33157-1800
Practice Address - Country:US
Practice Address - Phone:786-250-4169
Practice Address - Fax:786-732-0180
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-18
Last Update Date:2015-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management