COMMUNITY CARE CENTER CORPORATION (NPI# 1467714618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467714618 |
| Entity Type | Organization |
| Organization Name | COMMUNITY CARE CENTER CORPORATION |
| Practice Address |
1216 E Baltimore St Attn: Community Care Center Baltimore MD 21202-4710 |
| Practice Telephone | 4108705483 |
| Mailing Telephone | 4108705483 |
| Enumeration Date | 2012-06-13 |
| Last Update Date | 2012-11-23 |
| Authorized Official Name | MR. MICHAEL M ROGERS (BOARD MEMBER) |
| Authorized Official Telephone | 4108705483 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Street Address |
1216 E BALTIMORE ST ATTN: COMMUNITY CARE CENTER |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21202-4710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578951083 | Allen Tien | Psychiatry & Neurology | 1216 E Baltimore St, Baltimore, MD 21202-4710 | 2015-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750938650 | Anthony Graves | Behavior Technician | 414 Light Street, Baltimore, MD 21202 | 2019-08-25 |
| 1235786609 | Perfected Medical Billing & Consulting Service Inc. | Rehabilitation Counselor | 11 E Mt Royal Avenue, 3rd Flr Ste 2, Baltimore, MD 21202 | 2019-08-21 |
| 1700430246 | Ronie George | Nurse Practitioner | 345 St. Paul Place Dept of Pediatrics, Baltimore, MD 21202 | 2019-08-01 |
| 1750940185 | Katherine Wachter Mullins | Social Worker | 200 East North Ave, Related Services - Rm 210, Baltimore, MD 21202 | 2019-06-10 |
| 1720647175 | Ivelysse Claudio Cortes | Speech-Language Pathologist | Rsu/ofic of Spec Educ- Speech-language Department, 200 E North Avenue, Room 211, Baltimore, MD 21202 | 2019-06-10 |
| 1497314157 | Debera Marie Reznitsky | Speech-Language Pathologist | 200 East North Avenue, Related Services Rm 210, Baltimore, MD 21202 | 2019-06-06 |
| 1154989952 | Zirka Oksanna Hanas | Speech-Language Pathologist | 200 E. North Avenue, Related Services Room #210, Baltimore, MD 21202 | 2019-06-05 |
| 1750946224 | Lareneque Bartholomew | Counselor | 110 East Lexington Street, Suite 200, Baltimore, MD 21202 | 2019-05-09 |
| 1700349602 | Strategies, Inc. Behavior Analysis & Therapeutic Services | Behavioral Analyst | 414 Light Street, Baltimore, Md, Usa, 2103, Baltimore, MD 21202 | 2019-04-09 |
| 1902384068 | Medical Practice Billing and Solution, LLC | Clinic/Center | 224 N Gay Street, Baltimore, MD 21202 | 2018-08-01 |
| Find all providers in zip 21202 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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| 1669983904 | Pricare Medical Center LLC | Clinic/Center | 8113 Harford Rd Ste 100, Baltimore, MD 21234-5790 | 2017-10-13 |
| 1720597420 | Margaret Temitayo Owolabi | Clinic/Center | 5513 York Rd, Baltimore, MD 21212-3804 | 2017-09-25 |
| 1033716329 | Divine Care Family Practice, LLC | Clinic/Center | 6018 Harford Rd, Baltimore, MD 21214-1327 | 2020-10-08 |
| 1821628801 | Familycare Nurse Practitioner LLC | Clinic/Center | 2300 Garrison Blvd Ste 100, Baltimore, MD 21216-2308 | 2020-01-19 |
| 1902448335 | Jade Health & Wellness, LLC | Clinic/Center | 3301 Belair Rd, Baltimore, MD 21213-1257 | 2019-10-17 |
| 1871154278 | Clinic Management and Development Services, Inc. | Clinic/Center | 1850 N Milton Ave, Baltimore, MD 21213-2549 | 2019-06-26 |
| 1760941041 | North Point Medical Group, LLC | Clinic/Center | 2805 N Point Rd, Baltimore, MD 21222-2413 | 2019-03-18 |
| 1750849584 | Kleese Family Care LLC | Clinic/Center | 2 Hamill Rd, Ste 222, Baltimore, MD 21210-1815 | 2019-03-11 |
| Find all providers in BALTIMORE | ||||
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| 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.