Community Health Care, Inc.
Organization Active NPI Federally Qualified Health Center (FQHC) · Vineland, NJ
NPI 1154592459 · NPPES record last updated May 12, 2026
Key facts
- NPI
- 1154592459
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- COMMUNITY HEALTH CARE, INC.
- Practice address
- 484 S Brewster Rd
Vineland, NJ 08361-7874 - Phone
- (856) 691-3300
- Fax
- (856) 794-7183
- NPI assigned
- Mar 14, 2008
- Organization subpart
- No
Authorized official
- Name
- James C Edwards
- Title
- Ceo/President
- Phone
- (856) 451-4700
Owners & managing parties with NPI records 1
Owned or controlled facilities with NPI records 1
Other NPIs with the same Medicare PAC ID 11
Corporate family (same tax ID) 11
Practitioners 128
-
Eric M Bonifield, M.D.
-
Nicholas Calder, M.D.
-
Mahbuba Akter, PA
-
Fawaz Anwar, DO
-
Sara Ausaf, MD
-
Priscila Ayala, PA-C
-
Nicole Babel, APN
-
Elizabeth Bevan, LCSW
-
Mysti Blizzard, APN
-
Aubrey Grace Boegly, APN
-
Michael Patrick Bonk, M.D.
-
Gayatri Borra, M.D.
-
Natallia Breibart, D.O.
-
Sharon Brown, APN
-
Alexandra Rae Burrows, PA-C
-
O'Neil Chaudhry, MD
-
Shaniece Latoya Chavis, DNP, APN, FNP-BC
-
Joseph John Cipriano, DNP, FNP-BC
-
Jennifer Anne Clark, N.P.-C
-
Darlene Clendaniel, APN,PMHNP
-
Robert Miller Cole IV, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Federally qualified health center certification: CCN 311888
- Legal name
- COMMUNITY HEALTH CARE, INC.
- Doing business as
- COMPLETECARE HEALTH NETWORK
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Jan 15, 2009
- Last certification
- Jan 15, 2009
- Ownership / control type
- For profit – corporation
- Organization structure
- Other · Non-profit
- Incorporated
- Dec 29, 1986 in NJ
- Enrollment address
- 484 S Brewster Rd
Vineland, NJ 83617874
All disclosed owners & managing parties 14
| Name | Role | Since | Share |
|---|---|---|---|
| Maria Laboy |
Corporate Officer |
May 1, 2009 | |
| Demetrica Todd-Ruiz |
Corporate Officer |
Jan 1, 2008 | |
| James C Edwards |
Corporate Officer |
Jan 1, 2015 | |
| Victor Cruz |
Corporate Officer | Jan 1, 2016 | |
| Claudia Villalpando |
Corporate Director |
Jun 1, 2013 | |
| Gladwyn D Baptist |
Corporate Officer |
Jan 1, 2011 | |
| Beverly L Dairsow |
Corporate Officer | Jan 1, 2016 | |
| Dulce Gomez |
Corporate Officer | Jan 1, 2015 | |
| Richie Elwell |
Corporate Director |
Jun 1, 2013 | |
| Dina Bruno |
W-2 Managing Employee |
Nov 1, 2016 | |
| Arthur Horn |
Corporate Officer |
Apr 1, 2004 | |
| James Quinn |
Corporate Officer |
May 1, 2011 | |
| David Rivera |
Corporate Officer | Aug 1, 2010 | |
| Paul Cooper |
Corporate Officer |
Jan 1, 2010 |
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Completecare Health Network |
Federally qualified health center | Operational/Managerial Control (100%) | Jun 1, 2021 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080904000174 | NJ | Part a Provider - Federally Qualified Health Center (FQHC) | 9335040419 | Practice locations: Vineland, NJ |
National Provider Directory
- Tax ID family
- Community HLTH Care Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
484 S Brewster Rd
Vineland, NJ 08361-7874
Mailing address
14 N Pearl St
Bridgeton, NJ 08302-1902
Phone (856) 691-3300
Other names
- CompleteCare Health Network
Other providers in Vineland, NJ
- Octavia Lanna Collins
- Terrell Amanda Collins
- Gary Colone
- Avalon Kristen Comanzo
- Comminity Programs Inc.
- Community Health Care, Inc.
- Community Health Care, Inc.
- Community Health Care, Inc.
- Community Health Care, Inc.
- Community Surgical Supply of Toms River LLC
All providers in Vineland, NJ · Federally Qualified Health Center (FQHC) in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 12, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.