JACOB RUSSELL
NPI 1114785532
Case Manager/Care Coordinator in Ludington, MI

Q: What is Jacob Russell's NPI number?

The NPI number for Jacob Russell is 1114785532. It was assigned to this individual provider in the NPPES registry on March 11, 2024.

Q: What is Jacob Russell's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Q: When was this NPI record last updated?

The NPPES record for Jacob Russell was last updated on March 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 11, 2024

920 DIANA ST, LUDINGTON, MI 49431(231) 845-6294 Get Directions Write a Review

NPPES record last updated: March 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jacob Russell NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACOB RUSSELL (NPI 1114785532) is an individual case manager/care coordinator provider in Ludington, Michigan and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1114785532

Entity TypeIndividualMale

Primary Taxonomy171M00000X

Provider Legal NameJACOB RUSSELL

Location Address920 DIANA STLudington, MI 49431-1987

Mailing Address920 Diana StLudington, MI 49431-1987 · (231) 845-6294 · Fax (231) 845-7095

Phone(231) 845-6294

Sole ProprietorNo

Enumeration DateMarch 11, 2024

NPPES CertifiedMarch 11, 2024

✔ NPI 1114785532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

Definition

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.

920 DIANA ST, Ludington, MI 49431

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