Organization Active NPI

Community Care Health Plan, Inc

  • Health Maintenance Organization
  • Brookfield, WI
National Provider Identifier
1154479822
Registry record updated Dec 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
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 INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 15, 2021

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)CodeLicenseStatePrimary
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.

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

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.

Verify at the official NPI Registry.