Organization Name: | PROVIDENCE PROFESSIONAL SERVICES, LLC |
NPI Number: | 1851439095 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SANDRA FINE (OWNER) |
Mailing Address: | 302 Fleming St Suite #8 Garden City |
State: | KS US |
Postal Code: | 678466162 |
Phone Number: | 6202757100 |
Fax Number: | 6202757116 |
NPI Enumeration Date: | 02/01/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 171M00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Case Manager/Care Coordinator |
Taxonomy Specialization: | |
Taxonomy Definition: | A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee |