NPIMap

Organization Active NPI

Community Health Care, Inc.

Doing business as CompleteCare Health Network

  • Federally Qualified Health Center (FQHC)
  • Bridgeton, NJ
National Provider Identifier
1720198740
Registry record updated Oct 21, 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
351 Irving Ave
Bridgeton, NJ 08302-2265
Phone
(856) 451-4700
Fax
(856) 575-0818
NPI assigned
Aug 30, 2006
Last updated
Oct 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 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

351 Irving Ave
Bridgeton, NJ 08302-2265

Mailing address

14 N Pearl St
Bridgeton, NJ 08302-1902
Phone (856) 451-4700

Other names 1

  • CompleteCare Health Network Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101118000928 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 1720198740. Details of each certification follow.

Federally qualified health center certification: CCN 311807

Legal name
COMMUNITY HEALTH CARE, INC.
Doing business as
COMPLETECARE HEALTH NETWORK
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jan 1, 1992
Last certification
Jan 1, 1992
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Incorporated
Dec 29, 1986 in NJ
Enrollment address
105 Manheim Ave
Bridgeton, NJ 83022139

Facilities connected through Provider of Services related, parent or unit certification numbers.

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
Tax ID family
Community HLTH Care Inc12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

105 Manheim Ave
Ste 11
Bridgeton, NJ 08302

14 N Pearl St
Fl 2
Bridgeton, NJ 08302

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

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Maria Laboy Individual Corporate DirectorBoard Member Apr 28, 2015
Demetrica Todd-Ruiz Individual Corporate DirectorBoard Member Apr 28, 2015
James C Edwards Individual Corporate OfficerCeo/President Jan 1, 2015
Corporate DirectorCeo Jan 1, 2015
W-2 Managing EmployeeCeo Jan 1, 2015
Claudia Villalpando Individual Corporate DirectorDirector of Business Jun 1, 2013
Gladwyn D Baptist Individual Corporate DirectorBoard Member Apr 28, 2015
Richie Elwell Individual Corporate DirectorExecutive Vice President of Busi Jun 1, 2013
Dina Bruno Individual W-2 Managing EmployeeBusiness Associate Nov 1, 2016
Arthur Horn Individual Corporate DirectorBoard Member Apr 28, 2015
Javier Brambila Individual Corporate DirectorBoard Member Apr 28, 2015
James Quinn Individual Corporate DirectorBoard Member Apr 28, 2015
Community Health Care, Inc. Organization, Bridgeton, NJ Non-profit Operational/Managerial Control Jun 1, 2021 100%
Paul Cooper Individual Corporate DirectorBoard Member Apr 28, 2015

Owners & managing parties with NPI records 12

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792540800000",
    "number": "1720198740",
    "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",
            "telephone_number": "856-451-4700",
            "fax_number": "856-794-7183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 IRVING AVE",
            "city": "BRIDGETON",
            "state": "NJ",
            "postal_code": "083022265",
            "telephone_number": "856-451-4700",
            "fax_number": "856-575-0818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2026-10-21",
        "certification_date": "2026-10-21",
        "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": [],
    "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.