NPIMap

Organization Active NPI

Community Care

  • Case Management Agency
  • Laurel, MD
National Provider Identifier
1114388972
Registry record updated Jun 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
4647 Issued in MD
Legal business name
COMMUNITY CARE
Practice address
8101 Sandy Spring Rd Ste 250Ijk
Laurel, MD 20707-3596
Phone
(240) 459-8423
Fax
(419) 931-9255
NPI assigned
Mar 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2020

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

Authorized official

Name
Ms. January Levere-Wanzer
Title
Ceo
Phone
(240) 459-8423

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 4647 MD Primary

Addresses

Primary practice location

8101 Sandy Spring Rd Ste 250Ijk
Laurel, MD 20707-3596

Mailing address

8101 Sandy Spring Rd Ste 250Ijk
Laurel, MD 20707-3596
Phone (240) 459-8423

Other practice location 1

6196 oxon hill road
510
oxon hill, MD 20745
Phone (240) 459-8423

Other identifiers 2

IdentifierTypeStateIssuer
423285200MedicaidMD
8216011-00MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
Community Care4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1457395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591228800000",
    "number": "1114388972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8101 SANDY SPRING RD STE 250IJK",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207073596",
            "telephone_number": "240-459-8423",
            "fax_number": "419-931-9255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8101 SANDY SPRING RD STE 250IJK",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207073596",
            "telephone_number": "240-459-8423",
            "fax_number": "419-931-9255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6196 oxon hill road",
            "address_2": "510",
            "address_purpose": "LOCATION",
            "city": "oxon hill",
            "state": "MD",
            "postal_code": "20745",
            "country_code": "US",
            "telephone_number": "240-459-8423",
            "fax_number": "419-931-9255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMMUNITY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-08",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A",
        "authorized_official_last_name": "LEVERE-WANZER",
        "authorized_official_first_name": "JANUARY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "240-459-8423",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "MD",
            "license": "4647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "423285200",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8216011-00",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2020; 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.