NICOLE G BLUM (NPI# 1770127953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770127953 |
| Entity Type | Individual |
| Full Name | NICOLE G BLUM |
| Practice Address |
5 Century Dr Ste 130 Greenville SC 29607-1571 |
| Mailing Address |
10100 Elida Rd Delphos OH 45833-9056 |
| Practice Telephone | 8642501601 |
| Practice Fax Number | 8642501603 |
| Mailing Telephone | 4196958010 |
| Mailing Fax Number | 4196950004 |
| Enumeration Date | 2019-10-31 |
| Last Update Date | 2019-10-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255951026 | Nicole Blum | Nurse Practitioner | 4712 Arthur St, Hollywood, FL 33021-4737 | 2020-04-22 |
| Street Address |
5 CENTURY DR STE 130 |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29607-1571 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689071094 | Kimberly Anna Mcneil | Social Worker | 5 Century Dr Ste 130, Greenville, SC 29607-1571 | 2014-12-01 |
| 1629634324 | Ashley Browning | Social Worker | 5 Century Dr Ste 130, Greenville, SC 29607-1571 | 2019-05-17 |
| 1134588460 | Lamesha Rontae Smith | Social Worker | 5 Century Dr Ste 130, Greenville, SC 29607-1571 | 2016-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245846138 | Personalized Home Care Services | Technician | 1200 Woodruff Rd A3 Ste 150, Greenville, SC 29607 | 2020-09-16 |
| 1396361960 | Complete Homecare of America, Inc. | In Home Supportive Care | 128 Millport Circle, Suite 200, Greenville, SC 29607 | 2020-06-19 |
| 1275175093 | Carrie Laxton Ballenger | Nurse Practitioner | 2094 Woodruff Road, Greenville, SC 29607 | 2019-10-14 |
| 1861047037 | Susannah Long | Marriage & Family Therapist | 109 Laurens Road, Building 4 Ste D, Greenville, SC 29607 | 2019-08-05 |
| 1043872369 | Cheryl Craig Rosemond | Case Manager/Care Coordinator | 5 Century Drive, Suite 130, Greenville, SC 29607 | 2019-07-08 |
| 1457916561 | After Hours Chiropractic LLC | Chiropractor | 1200 Woodruff Rd Blg A-3, Simpsonville, SC 29607 | 2019-05-03 |
| 1952865289 | Orthodontic Specialists of Carolina, PC | Dentist | 611 Haywood Road, Greenville, SC 29607 | 2019-01-31 |
| 1124502307 | Martha Irby | Home Health Aide | 2320 E North St Rr 107, Greenville, SC 29607 | 2018-09-24 |
| 1780164541 | Suval Psychiatric Services, Pa | Clinic/Center | 33 Market Point Dr Ste 2023, Greenville, SC 29607 | 2018-08-20 |
| 1083113963 | Caroline Graham | Nurse Practitioner | 850 S Pleasantburg Dr, Greenville, SC 29607 | 2018-02-06 |
| Find all providers in zip 29607 | ||||
| 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 |
|---|---|---|---|---|
| 1043872369 | Cheryl Craig Rosemond | Case Manager/Care Coordinator | 5 Century Drive, Suite 130, Greenville, SC 29607 | 2019-07-08 |
| 1245740802 | Mary Benson Turner | Case Manager/Care Coordinator | 6459 State Route 181 S, Greenville, KY 42345-3837 | 2017-10-09 |
| 1497286660 | Deana Doyle | Case Manager/Care Coordinator | 257 County Road 3501, Greenville, TX 75402-5321 | 2017-03-21 |
| 1508311978 | Brenda Jackson-black | Case Manager/Care Coordinator | 4691 County Farm Rd, Greenville, MI 48838-9757 | 2016-08-16 |
| 1750640421 | Katherine Denise Roof | Case Manager/Care Coordinator | 37 Villa Rd Ste 300, Greenville, SC 29615-3038 | 2012-05-15 |
| 1932255163 | Robin R. Manning | Case Manager/Care Coordinator | 4969 Beechwood Dr, Greenville, OH 45331-9698 | 2007-01-29 |
| 1659434629 | Katie E Torbett | Case Manager/Care Coordinator | 3 Pelham Springs Pl, Greenville, SC 29615-4975 | 2006-12-19 |
| 1801977780 | Better Connections, Inc. | Case Manager/Care Coordinator | 101 W 14th St, Suite One, Greenville, NC 27834-4182 | 2006-10-18 |
| 1275131971 | Sanita Elizabeth Griffies | Case Manager/Care Coordinator | 756 Woodbury Hwy, Greenville, GA 30222-1514 | 2020-10-14 |
| 1982211108 | Connections Case Management | Case Manager/Care Coordinator | 1200 Woodruff Rd Ste A3, Greenville, SC 29607-5732 | 2020-09-30 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 29607 |
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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.