COMMUNITY CARE NETWORK, INC (NPI# 1063848109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063848109 |
| Entity Type | Organization |
| Organization Name | COMMUNITY CARE NETWORK, INC |
| Practice Address |
10607 Randolph St Suite E Crown Point IN 46307-7504 |
| Mailing Address |
1500 S Lake Park Ave Managed Care Department Hobart IN 46342-6638 |
| Practice Telephone | 2199476780 |
| Practice Fax Number | 2199476781 |
| Mailing Telephone | 2199476113 |
| Mailing Fax Number | 2199476503 |
| Enumeration Date | 2013-09-20 |
| Last Update Date | 2013-09-20 |
| Authorized Official Name | LUIS MOLINA (CFO) |
| Authorized Official Telephone | 2199476113 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831501212 | Community Care Network, Inc | Family Medicine | 3432 169th St, Hammond, IN 46323-2542 | 2014-05-20 |
| 1568776060 | Community Care Network, Inc | Urology | 3545 Arbors St, Portage, IN 46368-4297 | 2010-07-27 |
| 1790156214 | Community Care Network, Inc | Podiatrist | 6375 Us Highway 6, Suite D, Portage, IN 46368-5217 | 2015-10-09 |
| 1952790321 | Community Care Network, Inc | Orthopaedic Surgery | 7835 Grand Blvd, Hobart, IN 46342-6665 | 2015-01-22 |
| 1538576350 | Community Care Network, Inc | Internal Medicine | 3800 Saint Mary Rd, Suite 103, Valparaiso, IN 46383-3986 | 2014-07-14 |
| 1629480686 | Community Care Network, Inc | Family Medicine | 9660 Wicker Ave, Saint John, IN 46373-9487 | 2014-05-27 |
| 1689086001 | Community Care Network, Inc | Family Medicine | 3800 Saint Mary Rd, Suite 102, Valparaiso, IN 46383-3986 | 2014-05-21 |
| 1912319393 | Community Care Network, Inc | Family Medicine | 7651 Harvest Dr, Schererville, IN 46375-3476 | 2014-05-20 |
| 1245667773 | Community Care Network, Inc | Urology | 3800 Saint Mary Rd, Suite 205, Valparaiso, IN 46383-3986 | 2013-09-30 |
| 1528495058 | Community Care Network, Inc | Urology | 10607 Randolph St, Suite C, Crown Point, IN 46307-7504 | 2013-09-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | COMMUNITY CARE NETWORK, INC. | 5251 Viewridge Ct., San Diego, CA 92123 |
| Connecticut Business Registrations | COMMUNITY CARE NETWORK, INC. | Po Box 750, Nashville, TN 37202-0750 |
| Washington State Corporations | COMMUNITY CARE NETWORK, INC. | 300 Deschutes Way Sw Ste 208 Mc-csc1, Tumwater, WA 98501 |
| Oklahoma Business Registrations | COMMUNITY CARE NETWORK, INC. | 5251 Viewridge Ct, San Diego, CA 92123 |
| Indiana Business Entities | COMMUNITY CARE NETWORK, INC. | 5251 Viewridge Ct., San Diego, CA 92123 |
| Colorado Business Entities | COMMUNITY CARE NETWORK, INC. | 5251 Viewridge Court, San Diego, CA 92123 |
| Street Address |
10607 RANDOLPH ST SUITE E |
| City | CROWN POINT |
| State | IN |
| Zip Code | 46307-7504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871634188 | Karen A Mannino | Nurse Practitioner | 10607 Randolph St, Ste C, Crown Point, IN 46307-7505 | 2007-02-09 |
| 1780044701 | Maria Doctor | Physical Therapist | 10607 Randolph St, # E, Crown Point, IN 46307-7504 | 2016-03-03 |
| 1528495058 | Community Care Network, Inc | Urology | 10607 Randolph St, Suite C, Crown Point, IN 46307-7504 | 2013-09-30 |
| 1649546284 | Jared L Moon | Podiatrist | 10607 Randolph St, Crown Point, IN 46307-7504 | 2012-03-28 |
| 1013210368 | Valerie Cecelia Maguire | Family Medicine | 10607 Randolph St, Ste A, Crown Point, IN 46307-7505 | 2010-12-08 |
| 1932417854 | St Mary Medical Center Inc | Urology | 10607 Randolph St, C, Crown Point, IN 46307-7505 | 2010-09-14 |
| 1306170477 | St Mary Medical Center Inc | Obstetrics & Gynecology | 10607 Randolph St, Ste C, Crown Point, IN 46307-7505 | 2009-09-23 |
| 1437382876 | St Mary Medical Center | Plastic Surgery | 10607 Randolph St, Suite A, Crown Point, IN 46307-7504 | 2009-09-02 |
| 1356570014 | St Mary Medical Center Inc | Plastic Surgery | 10607 Randolph St, Ste A, Crown Point, IN 46307-7504 | 2009-07-02 |
| 1942477435 | Womens Medical Care LLC | Urology | 10607 Randolph St, Crown Point, IN 46307-7504 | 2008-05-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972117935 | Alimat O Biokoro | Home Health Aide | 1446 W 94th Ct., Crown Point, IN 46307 | 2020-09-06 |
| 1508489931 | Gentle Hearts Cardiovascular Institution LLC | Internal Medicine | 5221 W Lincoln Hwy, Suite 1a, Crown Point, IN 46307 | 2020-05-20 |
| 1659933646 | Darshak Joshi | Physical Therapist | 860 Stillwater Parkway, Crown Point, IN 46307 | 2019-07-01 |
| 1215592001 | Jamie Monday | Counselor | 1416 East Joliet St., Crown Point, IN 46307 | 2019-05-07 |
| 1790281152 | Tempus Labs Inc. | Clinical Medical Laboratory | 9800 Connecticut Drive, Suite A2-100, Crown Point, IN 46307 | 2018-04-04 |
| 1669991170 | Katie Lynn Eich | Counselor | 1308 N. Main St, Crown Point, IN 46307 | 2017-09-15 |
| 1053847251 | Nicole Bashan Lewis | Counselor | 1325 W 98th Ave, Crown Point, IN 46307 | 2017-05-08 |
| 1710433008 | Paul Alvin Clavecilla | Physical Therapist | 1099 South Main St., Apt. 314, Crown Point, IN 46307 | 2016-08-28 |
| 1851761365 | Cynthia Catherine Grass Black | Social Worker | 8592 Bell Lane, Crown Point, IN 46307 | 2015-09-28 |
| 1326437799 | Ameya Dorsatwar | Physical Therapist | 1516 North Main St, Crown Point, IN 46307 | 2015-01-22 |
| Find all providers in zip 46307 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649546284 | Jared L Moon | Podiatrist | 10607 Randolph St, Crown Point, IN 46307-7504 | 2012-03-28 |
| 1467677419 | Friendly Foot Care, PC | Podiatrist | 50 W 94th Pl, Crown Point, IN 46307-1710 | 2007-04-16 |
| 1114028768 | Edward F. King | Podiatrist | 9330 Broadway, Crown Point, IN 46307-8602 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003472721 | Roman Podiatry Partners Inc | Podiatrist | 2308 N. Roosevelt, Valparaiso, IN 46383 | 2019-05-17 |
| 1770040081 | Apex Podiatry, Inc. | Podiatrist | 1720 Lafayette Rd Ste 3, Crawfordsville, IN 47933-4604 | 2019-02-22 |
| 1982176913 | A-warnock LLC | Podiatrist | 1103 Central Park Blvd N, Greenwood, IN 46143-7312 | 2019-01-02 |
| 1336658095 | Jenkins Podiatry PC | Podiatrist | 3310 Highway 62 East, Suite 179, Jeffersonville, IN 47130 | 2017-09-26 |
| 1629592191 | Christie Foot & Ankle, LLC | Podiatrist | 3031 Meridian Meadows Rd, Greenwood, IN 46142-1011 | 2017-07-27 |
| 1154842896 | Major Multispecialty Associates | Podiatrist | 30 W Rampart St Ste 180, Shelbyville, IN 46176-8845 | 2017-07-03 |
| 1336677046 | John Paul Bonvillian | Podiatrist | Major Hospital, 2451 Intelliplex Dr, Shelbyville, IN 46176 | 2017-05-24 |
| 1538693536 | Nicholas Nicholas Lalios | Podiatrist | 7800 Madison St, Merrillville, IN 46410-4615 | 2017-04-17 |
| 1558713354 | Allegiant Podiatry, Inc. | Podiatrist | 515 Silhavy Rd, Apt # 2, Valparaiso, IN 46383-4452 | 2016-07-06 |
| 1275984643 | Jordan Gardner | Podiatrist | 3801 Bellemeade Ave Ste 110, Evansville, IN 47714-0111 | 2016-06-28 |
| Find all providers with the same taxonomy | ||||
| City | CROWN POINT |
| Zip Code | 46307 |
Please comment or provide details below to improve the information on COMMUNITY CARE NETWORK, INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.