INTELLICARE SERVICES LLC (NPI# 1760873533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760873533 |
| Entity Type | Organization |
| Organization Name | INTELLICARE SERVICES LLC |
| Other Organization Name | INTELLICARE SERVICES |
| Practice Address |
1630 N Edison St Stockton CA 95204-5633 |
| Practice Telephone | 2094066610 |
| Practice Fax Number | 2094238753 |
| Mailing Telephone | 2094066610 |
| Mailing Fax Number | 2094238753 |
| Enumeration Date | 2015-02-13 |
| Last Update Date | 2015-02-13 |
| Authorized Official Name | MS. GILDA D DIZON (PRESIDENT/MANAGING MEMBER) |
| Authorized Official Telephone | 2094060817 |
| Authorized Official Credential | RN, BSN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | Agencies |
| Other Name | Type Code |
|---|---|
| INTELLICARE SERVICES | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235521774 | Intellicare Services LLC | Case Management | 10410 Rudder Way, Stockton, CA 95209-4348 | 2015-02-20 |
| Street Address |
1630 N EDISON ST |
| City | STOCKTON |
| State | CA |
| Zip Code | 95204-5633 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962027524 | Kariem Abdelwahed | Licensed Vocational Nurse | 1630 N. Edison St Stockton Ca, Stockton, CA 95204 | 2020-06-10 |
| 1831730555 | Ronnie C Murray | Counselor | 1947 North California Street, Stockton, CA 95204 | 2019-10-03 |
| 1235614116 | Michelle Ann Horn | Marriage & Family Therapist | 3666 Mission Rd, Stockton, CA 95204 | 2018-09-26 |
| 1356830947 | Stockton Pace | PACE Provider Organization | 582 E. Harding Way, Stockton, CA 95204 | 2018-05-09 |
| 1790228781 | Rebecca Phongsa | Counselor | 1947 North Calfornia Street, Suite B, Stockton, CA 95204 | 2016-11-23 |
| 1700332905 | Serim Kang | Driver | 4222 N Pershing Ave, Suite D2, Stockton, CA 95204 | 2016-08-28 |
| 1033565544 | Philip John Brereton | Orthotist | 466 E Harding Way, Stockton, CA 95204 | 2016-05-13 |
| 1932507522 | David Grayson | Counselor | 1621 Brookside Rd, Stockton, CA 95204 | 2014-12-12 |
| 1174934897 | Gurtej Malhi | Internal Medicine | 1901 N California Street, Stockton, CA 95204 | 2014-05-15 |
| 1396156170 | Rajesh Saini | Nurse Practitioner | 1805 N California St. Suite 102, Stockton, CA 95204 | 2014-05-14 |
| Find all providers in zip 95204 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841746617 | Lao Family Community Empowerment, Inc. | Case Management | 8338 West Ln Ste 105, Stockton, CA 95210-3145 | 2016-08-31 |
| 1891189403 | Valley Community Couseling Services | Case Management | 1300 W. Lodi Ste G-2, Stockton, CA 95240 | 2015-03-20 |
| 1235521774 | Intellicare Services LLC | Case Management | 10410 Rudder Way, Stockton, CA 95209-4348 | 2015-02-20 |
| 1386059541 | Public Health Services | Case Management | 1601 E. Hazelton Ave., Stockton, CA 95201-2009 | 2014-06-26 |
| 1992121388 | Catholic Charities | Case Management | 1106 N El Dorado St Ste A, Stockton, CA 95202-1332 | 2014-03-10 |
| 1396944336 | The Catholic Council for The Spanish Speaking of The Diocese of Stockt | Case Management | 445 N San Joaquin St, Stockton, CA 95202-2003 | 2007-07-11 |
| 1275506784 | Bioactive Therapeutics | Case Management | 3499 Brookside Rd, Suite F, Stockton, CA 95219-1784 | 2006-02-07 |
| 1457891640 | Shyla White | Case Management | 440 N El Dorado St, Stockton, CA 95202-1950 | 2017-03-07 |
| 1881057461 | El Concilio | Case Management | 445 N San Joaquin St, Stockton, CA 95203 | 2016-04-01 |
| 1801261698 | Unseenxs | Case Management | 10940 Trinity Pkwy # C-129, Stockton, CA 95219-7234 | 2015-12-06 |
| Find all providers in STOCKTON | ||||
Please comment or provide details below to improve the information on INTELLICARE SERVICES 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.