COMPLETE CARE COORDINATION AGENCY (NPI# 1114474459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114474459 |
| Entity Type | Organization |
| Organization Name | COMPLETE CARE COORDINATION AGENCY |
| Practice Address |
6324 Shelbourne St Philadelphia PA 19111-5615 |
| Practice Telephone | 2156685769 |
| Mailing Telephone | 2156685769 |
| Enumeration Date | 2016-09-03 |
| Last Update Date | 2016-09-03 |
| Authorized Official Name | MRS. JOHANNE MESIDOR-DORSAINVIL (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 2156685769 |
| Is Organization Subpart | Y |
| Parent Organization Name | COMPLETE CARE COORDINATION AGENCY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302R00000X | Health Maintenance Organization | Managed Care Organizations |
| Street Address |
6324 SHELBOURNE ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19111-5615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780055210 | Dor To Dor Home Care | Hospice Care, Community Based | 6324 Shelbourne St, Philadelphia, PA 19111-5615 | 2015-10-09 |
| 1538614110 | Johanne Mesidor-dorsainvil | Case Manager/Care Coordinator | 6324 Shelbourne St, Philadelphia, PA 19111-5615 | 2016-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164036026 | Grace Agency Incorporated | Home Health | 433 Longshore Ave, Philadelphia, PA 19111 | 2020-09-08 |
| 1124517750 | Dana Christine Campetti | Physician Assistant | 700 Cottman Ave Ste 201, Philadelphia, PA 19111 | 2018-05-09 |
| 1235654286 | Dorotea Mutabdzic | Surgery | Fox Chase Cancer Center, 333 Cottman Ave, Dept of Surgical Oncology, Philadelphia, PA 19111 | 2017-08-11 |
| 1952841041 | Personal Care Home C&g | Point of Service | 6176 Newtown Ave, Philadelphia, PA 19111 | 2017-03-08 |
| 1477006849 | Fox Chase Cancer Center | Clinic/Center | 333 Cottman Ave., Philadelphia, PA 19111 | 2016-08-02 |
| 1578927521 | Peter Whooley | Student in an Organized Health Care Education/Training Program | Temple University/fox Chase Cancer Center, 333 Cottman Avenue, Philadelphia, PA 19111 | 2016-04-06 |
| 1043673783 | Matthew Holzerman | Physical Therapy Assistant | 1148 Tabor Plz, Philadelphia, PA 19111 | 2016-03-31 |
| 1831563329 | Aging With Care Inc | Home Health | 1614 Loney St, Philadelphia, PA 19111 | 2015-11-20 |
| 1043687551 | Kenneth Marsaglia II | Preventive Medicine | 8414 Bridle Road, Philadelphia, PA 19111 | 2015-09-01 |
| 1700220514 | Lorraine A Tauriello | Counselor | 716 Ripley St, Philadelphia, PA 19111 | 2013-04-23 |
| Find all providers in zip 19111 | ||||
| Taxonomy Code | 302R00000X |
| Grouping | Managed Care Organizations |
| Classification | Health Maintenance Organization |
| (1) A form of health insurance in which its members prepay a premium for the HMO’s health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 20; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508226812 | Paul Goddard | Health Maintenance Organization | 127 N Van Pelt St, Philadelphia, PA 19103-1016 | 2016-02-29 |
| 1659792372 | Byfaithenternal Health Care | Health Maintenance Organization | 2131 Granite St, Philadelphia, PA 19124-2207 | 2013-12-23 |
| 1811246762 | Newcourtland Life | Health Maintenance Organization | 6950 Germantown Avenue, Philadelphia, PA 19119 | 2012-09-06 |
| 1366791840 | Emris LLC | Health Maintenance Organization | 8921 Maxwell Pl, Philadelphia, PA 19152-1517 | 2012-08-30 |
| 1679852578 | Acupuncture Wang Center | Health Maintenance Organization | 2824 Cottman Ave Ste 9, Philadelphia, PA 19149-1400 | 2011-08-09 |
| 1821311747 | Gentle Care Nursing Service Inc. | Health Maintenance Organization | 2479 78th Ave, Philadelphia, PA 19150-1824 | 2010-03-05 |
| 1922509850 | Best of Bucks Co | Health Maintenance Organization | 4212 Whiting Rd, Philadelphia, PA 19154-2809 | 2018-02-26 |
| 1447700208 | Veteran Affairs Medical Center | Health Maintenance Organization | 3900 Woodland Ave, Philadelphia, PA 19104-4551 | 2016-10-05 |
| 1174988265 | Pain Care Management, LLC | Health Maintenance Organization | 520 N Columbus Blvd, Suite 202, Philadelphia, PA 19123-4226 | 2015-12-16 |
| 1033505730 | Goodheart Pharmacy | Health Maintenance Organization | 4835 Woodland Ave, Philadelphia, PA 19143-4433 | 2015-04-09 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19111 |
Please comment or provide details below to improve the information on COMPLETE CARE COORDINATION AGENCY.
| 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.