Community Choice Care Network Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

COMMUNITY CHOICE CARE NETWORK INC

Practice address

5600 W Maple Rd
Suite B- 213
West Bloomfield, MI 48322-3704

Phone

(248) 539-3969

Fax

(877) 424-7909

NPI assigned

Apr 11, 2012

Organization subpart

No

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

Authorized official

Name

Waqar Ahmed Khan

Title

President

Phone

(248) 539-3969

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1334102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334188800000",
    "number": "1053677385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 W MAPLE RD",
            "address_2": "SUITE B- 213",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223704",
            "telephone_number": "248-539-3969",
            "fax_number": "877-424-7909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 W MAPLE RD",
            "address_2": "SUITE B- 213",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223704",
            "telephone_number": "248-539-3969",
            "fax_number": "877-424-7909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CHOICE CARE NETWORK INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-11",
        "last_updated": "2012-04-12",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "WAQAR",
        "authorized_official_middle_name": "AHMED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-539-3969"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2012; 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.