Community Choice Health Care PC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

COMMUNITY CHOICE HEALTH CARE PC

Practice address

5722 Skipping Stone Dr
Indianapolis, IN 46237-5056

Phone

(317) 457-1184

NPI assigned

Oct 1, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Osadebamwen Henry Omorogbe, REGISTERED NURSE

Title

Administrator/Don

Phone

(317) 457-1184

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1222819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222819200000",
    "number": "1447401138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5722 SKIPPING STONE DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462375056",
            "telephone_number": "317-457-1184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5722 SKIPPING STONE DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462375056",
            "telephone_number": "317-457-1184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CHOICE HEALTH CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-01",
        "last_updated": "2008-10-01",
        "status": "A",
        "authorized_official_last_name": "OMOROGBE",
        "authorized_official_first_name": "OSADEBAMWEN",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "ADMINISTRATOR/DON",
        "authorized_official_telephone_number": "317-457-1184",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Community Birth Group
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• Community Birth Group
• Community Branches LLC
• Community Charter Network
• Community Clinic, Inc.
• Community Connect Care LLC
• Community Connect Care LLC
• Community Dental Center
• Community Eye Care of Indiana, Inc

• Home Health Agency in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Home Health Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.