Provider Demographics
NPI:1871650085
Name:COMMUNITY CARE INC.
Entity Type:Organization
Organization Name:COMMUNITY CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CORPORATE COMPLIANCE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:GARLIE
Authorized Official - Suffix:IX
Authorized Official - Credentials:
Authorized Official - Phone:262-207-9370
Mailing Address - Street 1:205 BISHOPS WAY
Mailing Address - Street 2:
Mailing Address - City:BROOKFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:53005-6247
Mailing Address - Country:US
Mailing Address - Phone:414-231-4000
Mailing Address - Fax:262-827-7051
Practice Address - Street 1:205 BISHOPS WAY
Practice Address - Street 2:
Practice Address - City:BROOKFIELD
Practice Address - State:WI
Practice Address - Zip Code:53005-6247
Practice Address - Country:US
Practice Address - Phone:414-231-4000
Practice Address - Fax:262-827-7051
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-03
Last Update Date:2021-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care