Organization Active NPI

Community Care, Inc.

Doing business as Private Duty Nursing

  • Nursing Care Agency
  • New Stanton, PA
National Provider Identifier
1073161303
Registry record updated Dec 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
COMMUNITY CARE, INC.
Doing business as
Private Duty Nursing
Practice address
201 E Pennsylvania Ave
New Stanton, PA 15672-2700
Phone
(724) 830-9918
Fax
(724) 830-9919
NPI assigned
Aug 29, 2019
Organization subpart
Yes
Parent organization
COMMUNITY CARE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 17, 2019

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

Authorized official

Name
Mr. Wasil W Waleski, MPACNPI 1215990056
Title
Administrator
Phone
(724) 830-9918

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Nursing Care Agency 251J00000X Primary

Addresses

Primary practice location

201 E Pennsylvania Ave
New Stanton, PA 15672-2700

Mailing address

201 E Pennsylvania Ave
New Stanton, PA 15672-2700
Phone (724) 830-9918

Other identifiers 1

IdentifierTypeStateIssuer
1007547000014MedicaidPA

Other names 1

  • Private Duty Nursing Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Community Care Inc2 organizations share this tax ID, including this one
Part of
Community Care Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1567036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576540800000",
    "number": "1073161303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E PENNSYLVANIA AVE",
            "city": "NEW STANTON",
            "state": "PA",
            "postal_code": "156722700",
            "telephone_number": "724-830-9918",
            "fax_number": "724-830-9919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E PENNSYLVANIA AVE",
            "city": "NEW STANTON",
            "state": "PA",
            "postal_code": "156722700",
            "telephone_number": "724-830-9918",
            "fax_number": "724-830-9919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CARE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY CARE, INC.",
        "enumeration_date": "2019-08-29",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A",
        "authorized_official_last_name": "WALESKI",
        "authorized_official_first_name": "WASIL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "724-830-9918",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPAC"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007547000014",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Private Duty Nursing",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Private Duty Nursing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Stanton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2019; 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.