# PROVIDER PARTNERS CARE MANAGEMENT INDIANA LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174341887
- **Authorized official:** MR. CRAIG ALLEN FLEISCHMANN (CFO)
- **Authorized official phone:** (410) 241-5063

## Contact information

- **Practice address:** 800 SAINT JOSEPH DR, KOKOMO, IN 46901-1983
- **Practice address phone:** (443) 275-9800
- **Mailing address:** 8820 COLUMBIA 100 PKWY STE 430, COLUMBIA, MD 21045-2175
- **Mailing address phone:** (410) 967-2097

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LG0600X | Gerontology Nurse Practitioner | — | NULL | Yes |
| 363LG0600X | Gerontology Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 10/01/2024
- **Last updated:** 01/19/2026