Provider Demographics
NPI:1649983016
Name:MANAGED CARE FOUNDATION
Entity type:Organization
Organization Name:MANAGED CARE FOUNDATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOARD PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHAMANE
Authorized Official - Middle Name:
Authorized Official - Last Name:GRANT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:833-469-1118
Mailing Address - Street 1:300 E DAVIS ST # 151
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75069-4588
Mailing Address - Country:US
Mailing Address - Phone:833-468-1118
Mailing Address - Fax:
Practice Address - Street 1:300 E DAVIS ST # 151
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75069-4588
Practice Address - Country:US
Practice Address - Phone:833-468-1118
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-02
Last Update Date:2023-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No251X00000XAgenciesSupports Brokerage
No251B00000XAgenciesCase Management
No253Z00000XAgenciesIn Home Supportive Care