Provider Demographics
NPI:1275529349
Name:COMMUNITY CAREPARTNERS, INC.
Entity Type:Organization
Organization Name:COMMUNITY CAREPARTNERS, INC.
Other - Org Name:ANGEL HOME HEALTH & HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT AND 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 1:170 CHURCH ST
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:NC
Practice Address - Zip Code:28734-2981
Practice Address - Country:US
Practice Address - Phone:828-369-4206
Practice Address - Fax:828-369-4400
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COMMUNITY CAREPARTNERS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-09-23
Last Update Date:2015-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC0324251B00000X, 251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3417055Medicaid
NC3409630Medicaid
NC566000064OtherHOME HEALTH COMMERCIAL
NC3409630Medicaid
NC347055Medicare Oscar/Certification
NC347055Medicare ID - Type UnspecifiedHOME HEALTH MEDICARE