Community Centered Home Healthcare, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

COMMUNITY CENTERED HOME HEALTHCARE, LLC

Practice address

12803 Marlow PL
Silver Spring, MD 20904-7143

Phone

(240) 605-6954

Fax

(301) 890-3940

NPI assigned

Aug 31, 2020

Organization subpart

No

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

Authorized official

Name

Miss Cynthia Renee Brunson, RNNPI 1215508965

Title

MSN, RN, Aphn, Ceo

Phone

(240) 605-6954

Specialties & licenses 7

Addresses

Other identifiers 1

Electronic endpoints 1

Practitioners 1

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.

• Cynthia R Brunson

  • Registered Nurse
  • Silver Spring, MD
  • NPI 1215508965
  NPD Authorized official

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

{
    "created_epoch": "1598832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607040000000",
    "number": "1952915787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12803 MARLOW PL",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209047143",
            "telephone_number": "240-605-6954",
            "fax_number": "301-890-3940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12803 MARLOW PL",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209047143",
            "telephone_number": "240-605-6954",
            "fax_number": "301-890-3940"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12803 Marlow Pl",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209047143",
            "country_code": "US",
            "telephone_number": "240-605-6954",
            "fax_number": "301-890-3940",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2402 Hamilton Ave",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212141632",
            "country_code": "US",
            "telephone_number": "240-605-6954",
            "fax_number": "301-890-3940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMMUNITY CENTERED HOME HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-31",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A",
        "authorized_official_last_name": "BRUNSON",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "MSN, RN, APHN, CEO",
        "authorized_official_telephone_number": "240-605-6954",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "SILVERSPRING",
            "affiliation": "N",
            "endpointDescription": "LAN",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "12803 Marlow Pl",
            "city": "Silver Spring",
            "state": "MD",
            "country_code": "US",
            "postal_code": "209047143",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Home Health Agency in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Home Health Agency in Maryland

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