Active NPI
Community Care Health Plan, Inc
- Health Maintenance Organization
- Brookfield, WI
National Provider Identifier
1154479822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- Legal business name
- COMMUNITY CARE HEALTH PLAN, INC
- Practice address
- 205 Bishops Way
Brookfield, WI 53005-6247 - Phone
- (414) 231-4000
- Fax
- (262) 827-7051
- NPI assigned
- Jan 8, 2007
- Organization subpart
- Yes
- Parent organization
- COMMUNITY CARE INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nancy Melnick
- Title
- Regulatory Affairs Specialist
- Phone
- (262) 207-9362
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| PACE Provider Organization | 251T00000X | |||
| Adult Day Care Clinic/Center | 261QA0600X | |||
| Health Maintenance Organization | 302R00000X | WI | Primary |
Addresses
Primary practice location
205 Bishops Way
Brookfield, WI 53005-6247
Mailing address
205 Bishops Way
Brookfield, WI 53005-6247
Phone (414) 231-4000
National Provider Directory
National Provider Directory- Part of
- Community Care Inc
Locations
205 Bishops Way
Brookfield, WI 53005
Phone (414) 231-4000
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Milwaukee, WI
- NPI 1801803580
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1639526400000",
"number": "1154479822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 BISHOPS WAY",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530056247",
"telephone_number": "414-231-4000",
"fax_number": "262-827-7051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 BISHOPS WAY",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530056247",
"telephone_number": "414-231-4000",
"fax_number": "262-827-7051"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNITY CARE HEALTH PLAN, INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "COMMUNITY CARE INC",
"enumeration_date": "2007-01-08",
"last_updated": "2021-12-15",
"certification_date": "2021-12-15",
"status": "A",
"authorized_official_last_name": "MELNICK",
"authorized_official_first_name": "NANCY",
"authorized_official_title_or_position": "REGULATORY AFFAIRS SPECIALIST",
"authorized_official_telephone_number": "262-207-9362"
},
"taxonomies": [
{
"code": "251T00000X",
"taxonomy_group": "",
"desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": "WI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brookfield, WI
- Collective Counseling and Consultation, LLC
- Christina Collins, O.D.
- Peter G Collins, PA
- Stephanie R Colon, APNP
- Molly J Colque, M.D.
- Community Care Inc.
- Compass Health Center Wisconsin LLC
- Compass Psychiatry Group Wisconsin LP
- Compassionate Angels Corporation
- Compassionate Care Hospice of Wisconsin, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.