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NPI 1124699665 · Case Management Agency · Phoenix, AZ
Provider details
- NPI number
- 1124699665
- Entity type
- Organization
- Primary specialty
- Case Management AgencyAgencies
- Organization subpart
- No
- Authorized official
- Enrique Madrid Manzo, Part Owner(602) 423-9682
Specialties & taxonomies
Agencies
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2440 W Mission Ln Ste 5
Phoenix, AZ 85021-2824
Phone: (602) 423-9682
Street-level locationGet directions
Mailing address
2440 W Mission Ln Ste 5
Phoenix, AZ 85021-2824
Registry dates
- Enumerated
- 2021-07-06
- Last updated
- 2021-07-06
- Certified
- 2021-07-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.