Lakeridge Care Management
NPI 1659738623ActiveOrganization· Case Management· Grand Prairie, TX
Case Management in Grand Prairie, Texas, registered in NPPES in January 2016. The authorized official on file is Demetria Gayle Wallace, RN, Director Case Management Program.
Overview
| NPI | 1659738623 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 21, 2016 |
| Last updated in NPPES | Jan 21, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Case Management Primary | 251B00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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