NPIMap

Organization Active NPI

Community Health Care, Inc.

Doing business as CompleteCare Health Network

  • Federally Qualified Health Center (FQHC)
  • Bridgeton, NJ
National Provider Identifier
1700816816
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
COMMUNITY HEALTH CARE, INC.
Doing business as
CompleteCare Health Network
Practice address
30 North Pearl Street
Bridgeton, NJ 08302-1902
Phone
(856) 451-4700
Fax
(856) 451-0029
NPI assigned
Jul 4, 2006
Last updated
May 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2026

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

Authorized official

Name
James C Edwards
Title
Ceo/President
Phone
(856) 451-4700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

30 North Pearl Street
Bridgeton, NJ 08302-1902

Mailing address

14 N Pearl St
Bridgeton, NJ 08302-1902

Other identifiers 1

IdentifierTypeStateIssuer
0041831MedicaidNJ

Other names 1

  • CompleteCare Health Network Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040402000981 NJ Part B Supplier - Clinic/Group Practice 9335040419 Receives reassigned benefits from 300 practitioners
Practice locations: Woodbury, NJ; Williamstown, NJ; Wildwood, NJ; Vineland, NJ; South Vineland, NJ; Glassboro, NJ; Bridgeton, NJ; Millville, NJ
O20230505000621 NJ Part A Provider - Federally Qualified Health Center (FQHC) 9335040419 Practice locations: Bridgeton, NJ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1700816816. Details of each certification follow.

Federally qualified health center certification: CCN 311002

Legal name
COMMUNITY HEALTH CARE, INC.
Doing business as
COMPLETECARE ADULT & SPECIALTY MEDICAL PROFESSIONALS
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Apr 4, 2023
Last certification
Apr 4, 2023
Ownership / control type
For profit – corporation
Organization structure
OtherNon-profit
Incorporated
Dec 3, 1989 in NJ
Enrollment address
30 N Pearl St
Bridgeton, NJ 83021947

Other NPIs with the same Medicare PAC ID 11

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

105 Manheim Ave
Ste 3
Bridgeton, NJ 08302

105 Manheim Ave
Ste 7
Bridgeton, NJ 08302

105 Manheim Ave
Ste 789
Bridgeton, NJ 08302

105 Manheim Ave
Ste 911
Bridgeton, NJ 08302

1369 Highway 77
Bridgeton, NJ 08302
Phone (856) 451-1892

351 Irving Ave
Bridgeton, NJ 08302
Phone (856) 453-4400

1038 E Chestnut Ave
Ste 110
Vineland, NJ 08360

1038 E Chestnut Ave
Ste 250
Vineland, NJ 08360

1255 W Landis Ave
Vineland, NJ 08360
Phone (856) 794-2989

215 N Delsea Dr
Vineland, NJ 08360
Phone (856) 691-9395

319 W Landis Ave
Vineland, NJ 08360
Phone 8566913300 ext. 1167

319 W Landis Ave
Ste 2
Vineland, NJ 08360

610 E Montrose St
Vineland, NJ 08360

785 W Sherman Ave
Vineland, NJ 08360

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
James C Edwards Individual Corporate OfficerCeo/President Jan 1, 2015
Claudia Villalpando Individual Corporate DirectorDirector of Business Services Dec 1, 2021
Richie Elwell Individual Corporate DirectorExececutive VP of Business and O Dec 1, 2021
Dina Bruno Individual W-2 Managing EmployeeBilling Team Leader Dec 1, 2021

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Completecare Health NetworkBridgeton, NJ, CCN 311807 Federally qualified health center Operational/Managerial Control (100%) Jun 1, 2021

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 307

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 307

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778544000000",
    "number": "1700816816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 N PEARL ST",
            "city": "BRIDGETON",
            "state": "NJ",
            "postal_code": "083021902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 NORTH PEARL STREET",
            "city": "BRIDGETON",
            "state": "NJ",
            "postal_code": "083021902",
            "telephone_number": "856-451-4700",
            "fax_number": "856-451-0029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "856-451-4700"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0041831",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CompleteCare Health Network",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bridgeton, NJ

Sources for this page

Verify at the official NPI Registry.