INDEPENDENT CASE MANAGEMENT, INC. (NPI# 1962547745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962547745 |
| Entity Type | Organization |
| Organization Name | INDEPENDENT CASE MANAGEMENT, INC. |
| Other Organization Name | ICM |
| Practice Address |
13310 Kanis Rd Little Rock AR 72211-4008 |
| Practice Telephone | 5012280063 |
| Practice Fax Number | 5012280070 |
| Mailing Telephone | 5012280063 |
| Mailing Fax Number | 5012280070 |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2014-03-14 |
| Authorized Official Name | MS. CINDY ALBERDING (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5012280063 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 130082782 | 05 | |
| AR | 125831774 | 05 | |
| AR | 129558732 | 05 | |
| AR | 129701767 | 05 | |
| AR | DDS | 132608786 | 01 |
| AR | 196924706 | 05 | |
| AR | 193204724 | 05 | |
| AR | 134456775 | 05 |
| Other Name | Type Code |
|---|---|
| ICM | Other Name - Individual/Organization |
| Street Address |
13310 KANIS RD |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72211-4008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528408267 | Independent Case Management | Early Intervention Provider Agency | 13310 Kanis Rd, Little Rock, AR 72211-4008 | 2013-06-26 |
| 1700225612 | Nicheyta Raino | Case Manager/Care Coordinator | 13310 Kanis Rd, Little Rock, AR 72211-4008 | 2013-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760004618 | Samantha Lenore Hilborn | Behavior Technician | 1525 Merrill Drive Suite 100, Little Rock, AR 72211 | 2020-05-14 |
| 1003437740 | Centers for Youth and Families, Inc. | Community/Behavioral Health | 1521 Merrill Drive, Suite D220 and E200, Little Rock, AR 72211 | 2020-05-05 |
| 1962040568 | Erica N Taylor | Nurse Practitioner | 11800 Financial Center Parkway, Ste 290, Little Rock, AR 72211 | 2019-12-13 |
| 1568932119 | Katie Jones | Nurse Practitioner | 1children's Way, Little Rock, AR 72211 | 2018-11-27 |
| 1356828651 | Kayleigh King | Dietitian, Registered | 4 Shackleford Plz Ste 209, Little Rock, AR 72211 | 2018-07-19 |
| 1699283838 | Kara Elizabeth Simmons | Physician Assistant | 11215 Hermitage Rd Ste 103, Little Rock, AR 72211 | 2018-01-22 |
| 1194241463 | Wendy Newsam Pllc | Counselor | 1 Innwood Circle, Suite 107, Little Rock, AR 72211 | 2017-08-18 |
| 1861915159 | Sarah Renee Beall | Counselor | 10800 Financial Centre #290, Little Rock, AR 72211 | 2017-07-19 |
| 1457873127 | Restore Hope Counseling Center, Pllc | Counselor | One Innwood Circle, Suite 201, Little Rock, AR 72211 | 2017-07-13 |
| 1447707500 | University of Arkansas for Medical Sciences | Durable Medical Equipment & Medical Supplies | 601 Autumn Road, Little Rock, AR 72211 | 2016-09-07 |
| Find all providers in zip 72211 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225667082 | Hannah Nicole Montgomery | Day Training, Developmentally Disabled Services | 1525 Merrill Dr, Little Rock, AR 72211-1821 | 2020-04-03 |
| 1184831372 | Kimberly Nicole Feuers | Day Training, Developmentally Disabled Services | 202 Thayer St, Little Rock, AR 72205-5954 | 2007-05-17 |
| 1063629244 | Lenee Nicole Rainey | Day Training, Developmentally Disabled Services | 9400 Stagecoach Rd, 1311, Little Rock, AR 72210-7059 | 2007-05-17 |
| 1063634285 | The Arc Arkansas | Day Training, Developmentally Disabled Services | 2004 S. Main Street, Little Rock, AR 72206 | 2007-05-03 |
| 1558492355 | Integrity, Inc | Day Training, Developmentally Disabled Services | 6124 Northmoor Dr, Little Rock, AR 72204-2504 | 2007-03-07 |
| 1295790103 | Little Rock Home Health Agency Inc | Day Training, Developmentally Disabled Services | 11524 N Rodney Parham Rd, #1, Little Rock, AR 72212-4187 | 2006-04-20 |
| 1942853783 | Francis A. Allen School for Exceptional Children, Inc. | Day Training, Developmentally Disabled Services | 824 N Tyler St, Little Rock, AR 72205-3535 | 2019-07-22 |
| 1639396146 | Developmental Resources Management, Inc. | Day Training, Developmentally Disabled Services | 221 W 2nd St, Suite 522, Little Rock, AR 72201-2501 | 2007-04-19 |
| 1124141452 | United Cerebral Palsy of Arkansas | Day Training, Developmentally Disabled Services | 9720 N Rodney Parham Rd, Little Rock, AR 72227-6212 | 2007-04-10 |
| 1023130721 | United Cerebral Palsy of Arkansas | Day Training, Developmentally Disabled Services | 9720 N Rodney Parham Rd, Little Rock, AR 72227-6212 | 2007-04-04 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72211 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.