JERMAINE VAUGHN - NPI 1821634775 - Case Manager/Care Coordinator in Merrillville, IN

Q: What is Jermaine Vaughn's NPI number?

The NPI number for Jermaine Vaughn is 1821634775. It was assigned to this individual provider in the NPPES registry on November 25, 2019.

Q: What is Jermaine Vaughn'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 Jermaine Vaughn was last updated on November 25, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Jermaine Vaughn NPPES

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

JERMAINE VAUGHN (NPI 1821634775) is an individual case manager/care coordinator provider in Merrillville, Indiana and active in the NPI registry since November 2019.

NPPES Registry Identity

NPI1821634775

Entity TypeIndividualMale

Primary Taxonomy171M00000X

Provider Legal NameJERMAINE VAUGHN

Location Address233 E 84TH DR STE 205Merrillville, IN 46410-6399

Mailing Address10100 Elida RdDelphos, OH 45833-9056 · (419) 695-8010 · Fax (419) 695-0004

Phone(219) 472-2062

Fax(219) 576-6090

Sole ProprietorYes

Enumeration DateNovember 25, 2019

✔ NPI 1821634775 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.

233 E 84TH DR STE 205, Merrillville, IN 46410

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELIA QASIM

Case Manager/Care Coordinator