Provider Demographics
NPI:1992902951
Name:ON-THE-CASE
Entity type:Organization
Organization Name:ON-THE-CASE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRODUCTION OFFICER
Authorized Official - Prefix:MISS
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:A
Authorized Official - Last Name:SANDERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-306-5438
Mailing Address - Street 1:4115 COLUMBIA RD
Mailing Address - Street 2:SUITE 5-324
Mailing Address - City:MARTINEZ
Mailing Address - State:GA
Mailing Address - Zip Code:30907-0405
Mailing Address - Country:US
Mailing Address - Phone:706-793-0646
Mailing Address - Fax:706-793-0646
Practice Address - Street 1:4115 COLUMBIA RD
Practice Address - Street 2:SUITE 5-324
Practice Address - City:MARTINEZ
Practice Address - State:GA
Practice Address - Zip Code:30907-0405
Practice Address - Country:US
Practice Address - Phone:706-793-0646
Practice Address - Fax:706-793-0646
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCR101799310500000X, 313M00000X, 314000000X, 315P00000X, 320600000X, 320900000X, 323P00000X
GARN070514310500000X, 313M00000X, 314000000X, 315P00000X, 320600000X, 320900000X, 323P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered310500000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Mental Illness
Not Answered313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility
Not Answered314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Not Answered315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities
Not Answered320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities
Not Answered320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Not Answered323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility