Organization Active NPI

Community Care Health Management, LLC

  • Home Health Agency
  • Bohemia, NY
National Provider Identifier
1275700387
Registry record updated May 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
COMMUNITY CARE HEALTH MANAGEMENT, LLC
Practice address
60 Knickerbocker Ave
Bohemia, NY 11716-3143
Phone
(888) 886-2433
Fax
(877) 329-4233
NPI assigned
May 8, 2008
Last updated
May 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2008

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

Authorized official

Name
Mr. Brian Vincent Monahan
Title
Member
Phone
(888) 886-2433

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

60 Knickerbocker Ave
Bohemia, NY 11716-3143

Mailing address

60 Knickerbocker Ave
Bohemia, NY 11716-3143
Phone (888) 886-2433

National Provider Directory

National Provider Directory

Locations

60 Knickerbocker Ave
Bohemia, NY 11716
Phone (866) 537-5130

NPI Registry JSON

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

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210204800000",
    "number": "1275700387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 KNICKERBOCKER AVE",
            "city": "BOHEMIA",
            "state": "NY",
            "postal_code": "117163143",
            "telephone_number": "888-886-2433",
            "fax_number": "877-329-4233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 KNICKERBOCKER AVE",
            "city": "BOHEMIA",
            "state": "NY",
            "postal_code": "117163143",
            "telephone_number": "888-886-2433",
            "fax_number": "877-329-4233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CARE HEALTH MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-08",
        "last_updated": "2008-05-08",
        "status": "A",
        "authorized_official_last_name": "MONAHAN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "VINCENT",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "888-886-2433",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bohemia, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; 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.