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NPI 1770169989 · Case Manager/Care Coordinator · Phoenix, AZ
Provider details
- NPI number
- 1770169989
- Entity type
- Organization
- Primary specialty
- Case Manager/Care CoordinatorOther Service Providers
- Organization subpart
- No
- Authorized official
- Taras Collum, Owner(702) 235-5650
Specialties & taxonomies
Other Service Providers
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
5 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
12615 N Cave Creek Rd
Phoenix, AZ 85022-5832
Phone: (702) 235-5650
Street-level locationGet directions
Mailing address
12615 N Cave Creek Rd
Phoenix, AZ 85022-5832
Registry dates
- Enumerated
- 2021-03-19
- Last updated
- 2021-03-19
- Certified
- 2021-03-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.