Organization Active NPI

Community Care, LLC

  • Community/Behavioral Health Agency
  • Laurel, MD
National Provider Identifier
1851782163
Registry record updated Jun 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MH-303 Issued in MD
Legal business name
COMMUNITY CARE, LLC
Practice address
8101 Sandy Spring Rd Ste 250Ijk
Laurel, MD 20707-3596
Phone
(240) 459-8423
NPI assigned
Feb 9, 2015
Last updated
Jun 4, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2020

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

Authorized official

Name
Ms. January Levere-Wanzer
Title
Owner
Phone
(240) 459-8423

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MH-303 MD Primary

Addresses

Primary practice location

8101 Sandy Spring Rd Ste 250Ijk
Laurel, MD 20707-3596

Mailing address

8101 Sandy Spring Rd Ste 250Ijk
Laurel, MD 20707-3596
Phone (240) 459-8423

Other practice location 1

6196 Oxon Hill Rd
510
Oxon Hill, MD 20745-3100
Phone (240) 459-8423

National Provider Directory

National Provider Directory
Tax ID family
Community Care4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1423440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591228800000",
    "number": "1851782163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8101 SANDY SPRING RD STE 250IJK",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207073596",
            "telephone_number": "240-459-8423",
            "fax_number": "419-931-9255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8101 SANDY SPRING RD STE 250IJK",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207073596",
            "telephone_number": "240-459-8423"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6196 Oxon Hill Rd",
            "address_2": "510",
            "address_purpose": "LOCATION",
            "city": "Oxon Hill",
            "state": "MD",
            "postal_code": "207453100",
            "country_code": "US",
            "telephone_number": "240-459-8423",
            "fax_number": "419-931-9255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMMUNITY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-09",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A",
        "authorized_official_last_name": "LEVERE-WANZER",
        "authorized_official_first_name": "JANUARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-459-8423",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": "MH-303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2020; 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.