PHYSICIANS CONSORTIUM GROUP LLC (NPI# 1699225839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699225839 |
| Entity Type | Organization |
| Organization Name | PHYSICIANS CONSORTIUM GROUP LLC |
| Practice Address |
1732 S Congress Ave Ste 346 Palm Springs FL 33461-2140 |
| Practice Telephone | 5613850731 |
| Mailing Telephone | 5613850731 |
| Enumeration Date | 2016-10-12 |
| Last Update Date | 2016-10-12 |
| Authorized Official Name | WILLIAM STEELE (CEO) |
| Authorized Official Telephone | 5613850731 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | FL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | SIMPLY | 11111 | 01 |
| Street Address |
1732 S CONGRESS AVE STE 346 |
| City | PALM SPRINGS |
| State | FL |
| Zip Code | 33461-2140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174167993 | Pcc Medical Holdings LLC | Health Maintenance Organization | 5055 South Congress Avenue, Suite 303, Lake Worth, FL 33461 | 2019-11-05 |
| 1841849692 | Five Star Medical Group Inc | Clinic/Center | 4300 10th Ave North, Suite 2, Lake Worth, FL 33461 | 2019-09-04 |
| 1346894375 | Patrick Pierre Jr. | Behavioral Analyst | 2430 Lake Worth Rd, Apt 2306, Lake Worth, FL 33461 | 2019-07-29 |
| 1740842699 | Amanda Shaw | Massage Therapist | 822 Lynnwood Dr, Lake Worth, FL 33461 | 2019-07-01 |
| 1043706005 | Elina Aguero Arman | Case Manager/Care Coordinator | 420 Alemeda Dr, Palm Springs, FL 33461 | 2018-07-02 |
| 1275028656 | Cagigas Dental Services Inc | Clinic/Center | 2311 10th Avenue North Suite 14, Lake Worth, FL 33461 | 2018-06-27 |
| 1972028447 | Annette Daley | Behavior Technician | 3595 2nd Ave North, Palm Springs, FL 33461 | 2017-08-07 |
| 1104349471 | Safe At Home Health Care, LLC | In Home Supportive Care | 555 Purdy Ln. #215, Palm Springs, FL 33461 | 2017-07-19 |
| 1609307271 | Yadira Perera | Assistant Behavior Analyst | 500 Davis Rd 42a, Palm Springs, FL 33461 | 2017-03-24 |
| 1982155842 | Palm Beach Addiction Center, Inc | Substance Abuse Rehabilitation Facility | 4196 Lake Worth Road, Lake Worth, FL 33461 | 2016-10-17 |
| Find all providers in zip 33461 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| 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. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639796634 | Suly M Celis | Case Manager/Care Coordinator | 345 Lake Arbor Dr # 345, Palm Springs, FL 33461-2110 | 2020-06-25 |
| 1043706005 | Elina Aguero Arman | Case Manager/Care Coordinator | 420 Alemeda Dr, Palm Springs, FL 33461 | 2018-07-02 |
| 1598257453 | Charles Griffith | Case Manager/Care Coordinator | 3255 E Tahquitz Canyon Way, Palm Springs, CA 92262-6958 | 2018-06-05 |
| 1487146346 | Alfredo Oscar Garcia | Case Manager/Care Coordinator | 3255 E Tahquitz Canyon Way Ste 101, Palm Springs, CA 92262-6962 | 2018-06-05 |
| 1770977670 | Mireya Alexandra Moscoso | Case Manager/Care Coordinator | 47 Andros Rd, Palm Springs, FL 33461-2915 | 2015-03-27 |
| 1801226584 | Tammy Jones | Case Manager/Care Coordinator | 265 Woodland Rd, Palm Springs, FL 33461-1056 | 2013-11-18 |
| 1235488149 | Niesha Wood | Case Manager/Care Coordinator | 3155 Lake Worth Rd Ste 2, Palm Springs, FL 33461-6917 | 2012-09-06 |
| 1750651097 | Sharlina Smith | Case Manager/Care Coordinator | 400 S El Cielo Rd Suite E / F, Palm Springs, CA 92262-7926 | 2012-01-04 |
| 1700043163 | Guadalupe Valdivia | Case Manager/Care Coordinator | 400 S. El Cielo Rd., Suite E/f, Palm Springs, CA 92262 | 2008-05-21 |
| 1790277630 | Cristina Renee Kayvon-pierce | Case Manager/Care Coordinator | 3255 E Tahquitz Canyon Way Ste 101, Palm Springs, CA 92262-6962 | 2018-06-06 |
| Find all providers in PALM SPRINGS | ||||
| City | PALM SPRINGS |
| Zip Code | 33461 |
Please comment or provide details below to improve the information on PHYSICIANS CONSORTIUM GROUP LLC.
| 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.