NPIMap

Organization Active NPI

Community Health Care, Inc.

Doing business as CompleteCare Health Network

  • Federally Qualified Health Center (FQHC)
  • Vineland, NJ
National Provider Identifier
1154592459
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
COMMUNITY HEALTH CARE, INC.
Doing business as
CompleteCare Health Network
Practice address
484 S Brewster Rd
Vineland, NJ 08361-7874
Phone
(856) 691-3300
Fax
(856) 794-7183
NPI assigned
Mar 14, 2008
Last updated
May 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2026

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

Authorized official

Name
James C Edwards
Title
Ceo/President
Phone
(856) 451-4700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

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 1

  • CompleteCare Health Network Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080904000174 NJ Part A Provider - Federally Qualified Health Center (FQHC) 9335040419 Practice locations: Vineland, NJ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1154592459. Details of each certification follow.

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
OtherNon-profit
Incorporated
Dec 29, 1986 in NJ
Enrollment address
484 S Brewster Rd
Vineland, NJ 83617874

Other NPIs with the same Medicare PAC ID 11

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Community HLTH Care Inc12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

Ownership & related parties

All disclosed owners & managing parties 14

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Maria Laboy Individual Corporate OfficerCeo May 1, 2009
Demetrica Todd-Ruiz Individual Corporate OfficerCeo Jan 1, 2008
James C Edwards Individual Corporate OfficerCeo, President Jan 1, 2015
Victor Cruz Individual Corporate Officer Jan 1, 2016
Claudia Villalpando Individual Corporate DirectorDirector of Business Jun 1, 2013
Gladwyn D Baptist Individual Corporate OfficerCeo Jan 1, 2011
Beverly L Dairsow Individual Corporate Officer Jan 1, 2016
Dulce Gomez Individual Corporate Officer Jan 1, 2015
Richie Elwell Individual Corporate DirectorExecutive Vice President of Busi Jun 1, 2013
Dina Bruno Individual W-2 Managing EmployeeBusiness Associate Nov 1, 2016
Arthur Horn Individual Corporate OfficerCeo Apr 1, 2004
James Quinn Individual Corporate OfficerCeo May 1, 2011
David Rivera Individual Corporate Officer Aug 1, 2010
Paul Cooper Individual Corporate OfficerCeo Jan 1, 2010

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Completecare Health NetworkBridgeton, NJ, CCN 311807 Federally qualified health center Operational/Managerial Control (100%) Jun 1, 2021

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1205452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778544000000",
    "number": "1154592459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 N PEARL ST",
            "city": "BRIDGETON",
            "state": "NJ",
            "postal_code": "083021902",
            "telephone_number": "856-691-3300",
            "fax_number": "856-794-7183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "484 S BREWSTER RD",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083617874",
            "telephone_number": "856-691-3300",
            "fax_number": "856-794-7183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-14",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "856-451-4700"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CompleteCare Health Network",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vineland, NJ

Sources for this page

Verify at the official NPI Registry.