Provider Demographics
NPI:1275700387
Name:COMMUNITY CARE HEALTH MANAGEMENT, LLC
Entity Type:Organization
Organization Name:COMMUNITY CARE HEALTH MANAGEMENT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:VINCENT
Authorized Official - Last Name:MONAHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-886-2433
Mailing Address - Street 1:60 KNICKERBOCKER AVE
Mailing Address - Street 2:
Mailing Address - City:BOHEMIA
Mailing Address - State:NY
Mailing Address - Zip Code:11716-3143
Mailing Address - Country:US
Mailing Address - Phone:888-886-2433
Mailing Address - Fax:877-329-4233
Practice Address - Street 1:60 KNICKERBOCKER AVE
Practice Address - Street 2:
Practice Address - City:BOHEMIA
Practice Address - State:NY
Practice Address - Zip Code:11716-3143
Practice Address - Country:US
Practice Address - Phone:888-886-2433
Practice Address - Fax:877-329-4233
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-08
Last Update Date:2008-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health