Complete Care Coordination Agency

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

COMPLETE CARE COORDINATION AGENCY

Practice address

6324 Shelbourne St
Philadelphia, PA 19111-5615

Phone

(215) 668-5769

NPI assigned

Sep 3, 2016

Organization subpart

Yes

Parent organization

COMPLETE CARE COORDINATION AGENCYAs reported in NPPES

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

Authorized official

Name

Mrs. Johanne Mesidor-DorsainvilNPI 1538614110

Title

Chief Executive Officer

Phone

(215) 668-5769

Specialties & licenses 1

Addresses

Part of

Complete Care Coordination Agency

Practitioners 1

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

• Johanne Mesidor-Dorsainvil, RN, BSN

  • Case Manager/Care Coordinator
  • Philadelphia, PA
  • NPI 1538614110
  NPD (past) Authorized official

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

{
    "created_epoch": "1472860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472860800000",
    "number": "1114474459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6324 SHELBOURNE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191115615",
            "telephone_number": "215-668-5769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6324 SHELBOURNE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191115615",
            "telephone_number": "215-668-5769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE CARE COORDINATION AGENCY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMPLETE CARE COORDINATION AGENCY",
        "enumeration_date": "2016-09-03",
        "last_updated": "2016-09-03",
        "status": "A",
        "authorized_official_last_name": "MESIDOR-DORSAINVIL",
        "authorized_official_first_name": "JOHANNE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "215-668-5769",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Compassionate Medical Response
• Compassionate Resilience
• Compassionate Ruby'S Homecare Inc
• Compassionnate Medical Response LLC
• Competent Hearts Home Care Agency LLC
• Complete Care Family Dentistry, LLC
• Complete Care Prosthetics and Orthotics LLC
• Complete Foot & Ankle L.L.C.
• Complete Home Care Services LLC
• Complete Physician Services

• Health Maintenance Organization in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Health Maintenance Organization in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2016; 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.