Organization Active NPI

Community Care, Inc.

  • Home Health Agency
  • New Stanton, PA
National Provider Identifier
1073544805
Registry record updated Nov 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
02510501 Issued in PA
Legal business name
COMMUNITY CARE, INC.
Practice address
201 E Pennsylvania Ave
New Stanton, PA 15672-9756
Phone
(724) 830-9918
Fax
(724) 830-9919
NPI assigned
Jul 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2014

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 02510501 PA Primary

Addresses

Primary practice location

201 E Pennsylvania Ave
New Stanton, PA 15672-9756

Mailing address

201 E Pennsylvania Ave
New Stanton, PA 15672-9756
Phone (724) 830-9918

Other identifiers 1

IdentifierTypeStateIssuer
1007547000002MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050120000418 PA Part A Provider - Home Health Agency 3173572781 Practice locations: Monroeville, PA; New Stanton, PA; Washington, PA

Home health agency certification: CCN 398028

Legal name
COMMUNITY CARE, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 26, 2006
Last certification
Jan 17, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Feb 24, 1986 in PA
Enrollment address
201 E Pennsylvania Ave
New Stanton, PA 15672-2700

Care Compare: Home health agency

Medicare Care Compare
Listed as
Community Care, IncCCN 398028 · All quality measures
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
Jan 26, 2006
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

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

Other organizations with this tax ID 1

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

Locations

224 W Otterman St
Greensburg, PA 15601
Phone (724) 830-9918

126 W Pittsburgh St
Greensburg, PA 15601
Phone (724) 830-9918

244 Center Rd
Ste 201
Monroeville, PA 15146
Phone 72483099181001

1150 Washington Rd
Ste 205
Washington, PA 15301
Phone (724) 225-6101

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Eleanor J Waleski Individual 5% Or Greater Direct Ownership Interest Feb 24, 1986 50%
Corporate OfficerPresident Feb 24, 1986
Corporate DirectorBoard Member Feb 24, 1986
Operational/Managerial ControlPresident Feb 24, 1986
Wasil W Waleski Individual 5% Or Greater Direct Ownership Interest Mar 16, 2017 50%
Operational/Managerial ControlAdminstrator Jan 26, 2006
Michael R. Kolson Individual Corporate OfficerChief Financial Officer Jan 26, 2006
Stan E Hindes Individual Corporate DirectorBoard Member Feb 24, 1986
Charles S Waleski Individual Corporate DirectorBoard Member Feb 24, 1986

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

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": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416182400000",
    "number": "1073544805",
    "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": "156729756",
            "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": "156729756",
            "telephone_number": "724-830-9918",
            "fax_number": "724-830-9919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2014-11-17",
        "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": "PA",
            "license": "02510501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007547000002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Stanton, PA

Sources for this page

Verify at the official NPI Registry.