<Unavail>

LBN: Independent Case Management, Inc.
<Unavail> is an health care organization with primary practice located at 1525 Merrill Drive , Little Rock AR 72211-1821. The organization recently has 4 registered licenses in different health care specialties including Agencies / Day Training, Developmentally Disabled Services, Agencies / Early Intervention Provider Agency, Agencies / In Home Supportive Care, Ambulatory Health Care Facilities / Adult Day Care. Agencies / Day Training, Developmentally Disabled Services is the primary health care specialty. Independent Case Management, Inc. can be contacted via phone (501) 228-0063, or through Wilson, Josh via phone (501) 228-0063.

Contact Information

Primary practice address
1525 Merrill Drive Little Rock AR 72211-1821
Phone: (501) 228-0063
Fax: (501) 228-0070
Website:
Map and Directions
Authorized official contact:
Name: Wilson, Josh PH.D.
Phone: (501) 228-0063

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X
Agencies / Early Intervention Provider Agency 252Y00000X
Agencies / In Home Supportive Care 253Z00000X
Ambulatory Health Care Facilities / Adult Day Care 261QA0600X

Profile Details

NPI number 1962547745
LBN Legal business name Independent Case Management, Inc.
DBA Doing business as <Unavail>
Authorized official Wilson, Josh PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Feb 20th, 2007
Last updated Jul 28th, 2026 - about 4 months 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962547745 NPPES
Arkansas MEDICAID 196924706
Arkansas MEDICAID 129558732
Arkansas MEDICAID 129701767
Arkansas Other 132608786
Arkansas MEDICAID 130082782
Arkansas MEDICAID 125831774
Arkansas MEDICAID 134456775
Arkansas MEDICAID 193204724

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