Organization Active NPI

Community Care Enhancement, LLC

  • Infusion Therapy Registered Nurse
  • Long Branch, NJ
National Provider Identifier
1518720895
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infusion Therapy Registered NurseTaxonomy code 163WI0500X
Legal business name
COMMUNITY CARE ENHANCEMENT, LLC
Practice address
274 Bath Ave Apt 12
Long Branch, NJ 07740-6157
Phone
(732) 931-4633
NPI assigned
Jan 31, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Authorized official

Name
Guram Tchelidze
Title
Owner/Cto
Phone
(732) 931-4633

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WH0200X
Infusion Therapy Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WI0500X Primary

Addresses

Primary practice location

274 Bath Ave Apt 12
Long Branch, NJ 07740-6157

Mailing address

274 Bath Ave Apt 12
Long Branch, NJ 07740-6157
Phone (732) 861-0528

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1706659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730764800000",
    "number": "1518720895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "274 BATH AVE APT 12",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077406157",
            "telephone_number": "732-861-0528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "274 BATH AVE APT 12",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077406157",
            "telephone_number": "732-931-4633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CARE ENHANCEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-31",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A",
        "authorized_official_last_name": "TCHELIDZE",
        "authorized_official_first_name": "GURAM",
        "authorized_official_title_or_position": "OWNER/CTO",
        "authorized_official_telephone_number": "732-931-4633"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WI0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Branch, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; 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.