Provider Demographics
NPI:1811068653
Name:CONTINUUM CARE MANAGEMENT GROUP, LLC
Entity type:Organization
Organization Name:CONTINUUM CARE MANAGEMENT GROUP, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:PHILIP
Authorized Official - Middle Name:
Authorized Official - Last Name:SIMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:866-677-2440
Mailing Address - Street 1:155 ROMEO RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ROCHESTER
Mailing Address - State:MI
Mailing Address - Zip Code:48307-1506
Mailing Address - Country:US
Mailing Address - Phone:866-677-2440
Mailing Address - Fax:248-659-8807
Practice Address - Street 1:155 ROMEO RD
Practice Address - Street 2:SUITE 200
Practice Address - City:ROCHESTER
Practice Address - State:MI
Practice Address - Zip Code:48307-1506
Practice Address - Country:US
Practice Address - Phone:866-677-2440
Practice Address - Fax:248-659-8807
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-13
Last Update Date:2013-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health