Community Care Organization, Inc.

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

0496L001 Issued in NY

Legal business name

COMMUNITY CARE ORGANIZATION, INC.

Practice address

246 55 Street
Aa4
Brooklyn, NY 11220

Phone

(718) 630-7274

Fax

(718) 630-7261

NPI assigned

Feb 18, 2009

Last updated

Feb 18, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. David Rose

Title

Executive Director

Phone

(718) 630-6125

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1234915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234915200000",
    "number": "1811136674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 55 STREET",
            "address_2": "AA4",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11220",
            "telephone_number": "718-630-7274",
            "fax_number": "718-630-7261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 55 STREET",
            "address_2": "AA4",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11220",
            "telephone_number": "718-630-7274",
            "fax_number": "718-630-7261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CARE ORGANIZATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-18",
        "last_updated": "2009-02-18",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "718-630-6125",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": "NY",
            "license": "0496L001",
            "primary": true
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": "NY",
            "license": "0496L001",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Care EMS LLC (InstaCare EMS)
• Community Care Initiative
• Community Chiropractic and Acupuncture of Park Slope,PLLC
• Community Companion Services, Inc
• Community Counseling & Mediation
• Community Counseling and Mediation (CCMS)
• Community Counseling and Mediation

• Home Health Registered Nurse in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Home Health Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2009; 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.