NPIMap

Organization Active NPI

Community Health Care, Inc.

Doing business as CompleteCare Health Network

  • Federally Qualified Health Center (FQHC)
  • Bridgeton, NJ
National Provider Identifier
1215242516
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
265 Irving Ave
Bridgeton, NJ 08302-2121
Phone
(856) 451-4700
Fax
(856) 451-8685
NPI assigned
Aug 11, 2010
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
Mr. 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

265 Irving Ave
Bridgeton, NJ 08302-2121

Mailing address

14 N Pearl St
Bridgeton, NJ 08302-1902
Phone (856) 451-4700

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
O20110120000988 NJ Part A Provider - Federally Qualified Health Center (FQHC) 9335040419 Practice locations: Bridgeton, NJ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1215242516. Details of each certification follow.

Federally qualified health center certification: CCN 311897

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 24, 2011
Last certification
Jan 24, 2011
Ownership / control type
For profit – corporation
Organization structure
OtherNon-profit
Incorporated
Dec 29, 1986 in NJ
Enrollment address
265 Irving Avenue
Bridgeton, NJ 83022121

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.

Locations

14 N Pearl St
Bridgeton, NJ 08302
Phone (856) 340-9830

Ownership & related parties

All disclosed owners & managing parties 13

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 OfficerSecretary of the Board Jan 1, 2010
Corporate DirectorBoard of Directors(Secretary) May 1, 2009
Demetrica Todd-Ruiz Individual Corporate DirectorBoard of Directors(Treasurer) Jan 1, 2008
James C Edwards Individual Corporate OfficerCeo, President Jan 1, 2015
Corporate DirectorCeo/President Jan 1, 2015
Victor Cruz Individual Corporate DirectorBoard Member Jan 1, 2016
Claudia Villalpando Individual Corporate OfficerDirector of Business Jun 1, 2013
W-2 Managing EmployeeDirector of Business Jun 1, 2013
Gladwyn D Baptist Individual Corporate DirectorBoard Member Jan 1, 2011
Beverly L Dairsow Individual Corporate DirectorBoard Member Jan 1, 2016
Dulce Gomez Individual Corporate DirectorBoard Member Jan 1, 2016
Richie Elwell Individual Corporate OfficerExecutive Vice President of Busi Jun 1, 2013
Dina Bruno Individual W-2 Managing EmployeeBusiness Associate Nov 1, 2016
Arthur Horn Individual Corporate OfficerVice-Chairman of the Board Jan 1, 2003
Corporate DirectorBoard of Directors(Chairperson) Apr 1, 2004
James Quinn Individual Corporate DirectorBoard Member Jan 1, 2015
Paul Cooper Individual Corporate DirectorBoard Member 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.

NPI Registry JSON

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

{
    "created_epoch": "1281484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778544000000",
    "number": "1215242516",
    "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": "856-451-4700",
            "fax_number": "856-451-8685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 IRVING AVE",
            "city": "BRIDGETON",
            "state": "NJ",
            "postal_code": "083022121",
            "telephone_number": "856-451-4700",
            "fax_number": "856-451-8685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-11",
        "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",
        "authorized_official_name_prefix": "Mr."
    },
    "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 Bridgeton, NJ

Sources for this page

Verify at the official NPI Registry.