PURPLE COW CASE MANAGEMENT LLC NPI 1114139672

NPI Information

  • NPI: 1114139672
  • Provider Name: PURPLE COW CASE MANAGEMENT LLC
  • Classification: Case Manager/Care Coordinator - 171M00000X
  • Entity Type: Organization
  • Address: 105 W 3RD ST
    SUITE 242
    ROSWELL, NM
    ZIP 88201
  • Phone: (505) 623-3051

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NPI Details

PURPLE COW CASE MANAGEMENT LLC is a case manager care coordinator in Roswell, NM. The provider is 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's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. PURPLE COW CASE MANAGEMENT LLC NPI is 1114139672. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

105 W 3RD ST
SUITE 242
ROSWELL, NM
ZIP 88201-750
Phone: (505) 623-3051
Fax: (505) 623-8095

The provider's authorized official is Ronald Nelson Tucker .
The authorized official title is Owner and has the following contact phone number (505) 623-3051.

The enumeration date for this NPI number is 5/4/2007 and was last updated on 8/22/2020.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1171M00000XCase Manager/Care CoordinatorYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
173675768MEDICAIDNEW MEXICO

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: 3/30/2025

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