Commucare

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

COMMUCARE

Practice address

1841 Church LN FL 1
Philadelphia, PA 19141-1319

Phone

(267) 816-3449

NPI assigned

Feb 1, 2023

Last updated

Feb 1, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kristian Akiya Latimore

Title

Chief Executive Officer

Phone

(267) 816-3449

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1675209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675209600000",
    "number": "1043916042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 E STAFFORD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191441250",
            "telephone_number": "267-816-3449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1841 CHURCH LN FL 1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191411319",
            "telephone_number": "267-816-3449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-01",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A",
        "authorized_official_last_name": "LATIMORE",
        "authorized_official_first_name": "KRISTIAN",
        "authorized_official_middle_name": "AKIYA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "267-816-3449"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Case Management Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.