Customized Care Management Services, Llc
LBN: Customized Care Management Services, Llc
Customized Care Management Services, Llc is an health care organization with primary practice located at 4121 Parker Ave , West Palm Beach FL 33405-2507. The organization recently has 2 registered licenses in different health care specialties including Agencies / In Home Supportive Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is the primary health care specialty.
Customized Care Management Services, Llc can be contacted via phone (561) 460-2464, or through Jestine, Nerlyn via phone (561) 328-7527.
Contact Information
Primary practice address
4121 Parker Ave
West Palm Beach FL 33405-2507
Phone: (561) 460-2464
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / In Home Supportive Care | 253Z00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | ARNP9227682 | Florida |
Profile Details
| NPI number | 1215397989 |
|---|---|
| LBN Legal business name | Customized Care Management Services, Llc |
| DBA Doing business as | |
| Authorized official | Jestine, Nerlyn |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 24th, 2016 |
| Last updated | Jun 12th, 2021 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215397989 | NPPES |
| Florida | MEDICAID | 017276500 |
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