Active NPI
Community Care Enhancement, LLC
- Infusion Therapy Registered Nurse
- Long Branch, NJ
National Provider Identifier
1518720895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infusion Therapy Registered Nurse
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | |||
| Infusion Therapy Registered Nurse | 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 DirectoryNPI 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.