Provider Demographics
NPI:1679041065
Name:COMON COMMUNITY CARE LLC
Entity Type:Organization
Organization Name:COMON COMMUNITY CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FRANCIA
Authorized Official - Middle Name:
Authorized Official - Last Name:COMON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-644-8185
Mailing Address - Street 1:7371 BRIELLA DR
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33437-3767
Mailing Address - Country:US
Mailing Address - Phone:561-644-8185
Mailing Address - Fax:
Practice Address - Street 1:7371 BRIELLA DR
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33437-3767
Practice Address - Country:US
Practice Address - Phone:561-644-8185
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-05
Last Update Date:2018-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child