Community Integrated Care Management

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

COMMUNITY INTEGRATED CARE MANAGEMENT

Practice address

1615 Rhode Island Ave NE
Washington, DC 20018-1802

Phone

(202) 269-4511

Fax

(202) 269-3895

NPI assigned

May 10, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Michael McConnell

Title

Coo

Phone

(703) 955-0544

Specialties & licenses 2

Addresses

Other names 1

• Medical Doctor Call Other name

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519689600000",
    "number": "1053525824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 RHODE ISLAND AVE NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200181802",
            "telephone_number": "202-269-4511",
            "fax_number": "202-269-3895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 RHODE ISLAND AVE NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200181802",
            "telephone_number": "202-269-4511",
            "fax_number": "202-269-3895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY INTEGRATED CARE MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2018-02-27",
        "status": "A",
        "authorized_official_last_name": "MCCONNELL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "703-955-0544",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Doctor Call",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Community Grapevines Inc
• Community Healthcare Services
• Community Healthcare Services Limited Liability Company
• Community Healthcare Services, LLC
• Community Home Health Services
• Community of Hope Inc.
• Community of Hope Inc.
• Community of Hope Inc.
• Community of Hope Inc.
• Community of Hope Inc.

• Community Health Clinic/Center in Washington, DC
• Providers in Washington, DC by specialty
• Community Health Clinic/Center in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2018; 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.