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DDM CASE MANAGEMENT SERVICES LLC NPI 1700539350


NPI Information

NPI: 1700539350
Provider Name: DDM CASE MANAGEMENT SERVICES LLC

Doing Business As: DDM

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
2210 MEADOW DRIVE
LOUISVILLE, KY
ZIP 40218
Phone: (502) 419-8268
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DDM CASE MANAGEMENT SERVICES LLC is a community behavioral health in Louisville, KY. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. DDM CASE MANAGEMENT SERVICES LLC NPI is 1700539350. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Ddm.

The provider's business location address is:

2210 MEADOW DRIVE
LOUISVILLE, KY
ZIP 40218-323
Phone: (502) 419-8268

The provider's authorized official is Sperlisha Victoria Ayeni .
The authorized official title is Compliance/operations Officer and has the following contact phone number (502) 384-6009.

The enumeration date for this NPI number is 2/2/2022 and was last updated on 4/25/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11041C0700XSocial WorkerClinicalNo
2251B00000XCase ManagementNo
3251S00000XCommunity/Behavioral HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17100866410MEDICAIDKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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