Cancer Care Partners, LLC

Primary specialty

Special HospitalTaxonomy code 284300000X

License

110123871 Issued in IN

Legal business name

CANCER CARE PARTNERS, LLC

Practice address

301 E Day Rd
Mishawaka, IN 46545-3455

Phone

(574) 204-7300

Fax

(574) 204-7301

NPI assigned

Dec 8, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Joseph A Gagliardi Sr.

Title

Chief Executive Officer

Phone

(574) 204-7300

Specialties & licenses 2

Addresses

Other names 1

• CCP Doing business as

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Goshen Hospital Association Inc

  • Community Based Hospice Care Agency
  • Goshen, IN
  • NPI 1235191032

  Member Of

  NPD member
• The South Bend Clinic LLC

  • Durable Medical Equipment & Medical Supplies
  • New Carlisle, IN
  • NPI 1851064232

  Member Of

  NPD member

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

{
    "created_epoch": "1291766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303862400000",
    "number": "1265735674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 539",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466240539",
            "telephone_number": "574-204-7300",
            "fax_number": "574-204-7301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E DAY RD",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465453455",
            "telephone_number": "574-204-7300",
            "fax_number": "574-204-7301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANCER CARE PARTNERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-08",
        "last_updated": "2011-04-27",
        "status": "A",
        "authorized_official_last_name": "GAGLIARDI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "574-204-7300",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "IN",
            "license": null,
            "primary": false
        },
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": "IN",
            "license": "110123871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CCP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Loren Michelle Calderone, NP-C
• Bradley Curtis Cameron
• Eduardo Campos-Hernandez, PT
• Cancer Care Partners LLC
• Cancer Care Partners LLC
• Mark S. Cantieri, D.O.
• Jodi Carbone
• Ralph F Carbone Jr., DO
• Zerina Cardaklija
• Carrie Michele Cardwell

• All providers in Mishawaka, IN
• Special Hospital in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2011; 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.