Provider Demographics
NPI:1073558672
Name:COMMUNITY CAREPARTNERS, INC.
Entity Type:Organization
Organization Name:COMMUNITY CAREPARTNERS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TRACY
Authorized Official - Middle Name:T
Authorized Official - Last Name:BUCHANAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-277-4800
Mailing Address - Street 1:68 SWEETEN CREEK ROAD
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-2318
Mailing Address - Country:US
Mailing Address - Phone:828-277-4800
Mailing Address - Fax:828-277-4865
Practice Address - Street 1:68 SWEETEN CREEK ROAD
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803
Practice Address - Country:US
Practice Address - Phone:828-277-4800
Practice Address - Fax:828-277-4865
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COMMUNITY CAREPARTNERS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-06-18
Last Update Date:2018-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103TC0700X, 208100000X, 363L00000X, 363LF0000X, 363LG0600X
NCH0081283X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes283X00000XHospitalsRehabilitation HospitalGroup - Multi-Specialty
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
00034OtherBLUE CROSS PROVIDER #
50-706-59OtherUHC PROVIDER #
NC3403025Medicaid
NC3403025Medicaid
2345549AMedicare PIN
50-706-59OtherUHC PROVIDER #
NC3403025Medicaid