PROSPECT CCMC, LLC (NPI# 1245684380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245684380 |
| Entity Type | Organization |
| Organization Name | PROSPECT CCMC, LLC |
| Practice Address |
301 W 15th St Chester PA 19013-5300 |
| Practice Telephone | 6106198700 |
| Mailing Telephone | 6106198700 |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2019-05-29 |
| Authorized Official Name | ELLEN SHIN (SECRETARY) |
| Authorized Official Telephone | 3109434520 |
| Authorized Official Credential | JD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 385H00000X | Respite Care | Respite Care Facility |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043674351 | Prospect Ccmc, LLC | Clinic/Center | 100 Crozerville Rd, Aston, PA 19014-1444 | 2016-04-12 |
| 1578927885 | Prospect Ccmc, LLC | Clinic/Center | 201 Bridgewater Rd, Chester, PA 19015-2113 | 2016-04-12 |
| 1740644053 | Prospect Ccmc, LLC | Clinic/Center | 710 S Middletown Rd, Media, PA 19063-5024 | 2016-04-12 |
| 1669084364 | Prospect Ccmc, LLC | Case Management | 301 W 15th St, Chester, PA 19013-5300 | 2020-08-24 |
| 1750943445 | Prospect Ccmc, LLC | Clinic/Center | 800 Macdade Blvd, Collingdale, PA 19023-3826 | 2019-07-02 |
| 1477113249 | Prospect Ccmc, LLC | Clinic/Center | 800 Macdade Blvd, Collingdale, PA 19023-3826 | 2019-06-14 |
| 1427595982 | Prospect Ccmc, LLC | Clinic/Center | 1 Medical Center Blvd, Chester, PA 19013-3902 | 2017-01-23 |
| 1942745211 | Prospect Ccmc, LLC | Clinic/Center | 1 Medical Center Blvd, Chester, PA 19013-3902 | 2016-12-22 |
| 1659728640 | Prospect Ccmc, LLC | Clinic/Center | 1 Medical Center Blvd, Chester, PA 19013-3902 | 2016-05-19 |
| 1376990366 | Prospect Ccmc, LLC | Clinic/Center | 301 W 15th St, Chester, PA 19013 | 2016-05-19 |
| Street Address |
301 W 15TH ST |
| City | CHESTER |
| State | PA |
| Zip Code | 19013-5300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609922772 | Christopher Lawrence Barrett | Podiatrist | 301 W 15th St, North Campus, Chester, PA 19013-5300 | 2007-01-25 |
| 1629679824 | Michelle Hudson | Case Management | 301 W 15th St, Chester, PA 19013-5300 | 2020-11-04 |
| 1457952889 | Julia Blaszczyk | Counselor | 301 W 15th St, Chester, PA 19013-5300 | 2020-11-03 |
| 1376144675 | Risa Shibata | Counselor | 301 W 15th St, Chester, PA 19013-5300 | 2020-11-03 |
| 1528668837 | Molly Roberts | Counselor | 301 W 15th St, Chester, PA 19013-5300 | 2020-10-27 |
| 1770183204 | Kenisha Fuller-jones | Case Manager/Care Coordinator | 301 W 15th St, Chester, PA 19013-5300 | 2020-10-26 |
| 1891394540 | Elizabeth Mcdonald | Counselor | 301 W 15th St, Chester, PA 19013-5300 | 2020-10-23 |
| 1255930442 | Ashley Lynn | Counselor | 301 W 15th St, Chester, PA 19013-5300 | 2020-10-20 |
| 1073110698 | Nicole Chunta | Counselor | 301 W 15th St, Chester, PA 19013-5300 | 2020-10-06 |
| 1427664945 | Gabby Hess | Case Manager/Care Coordinator | 301 W 15th St, Chester, PA 19013-5300 | 2020-09-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790305043 | Erika Pack | Student in an Organized Health Care Education/Training Program | Crozer-chester Medical Center, 1 Medical Center Blvd., Upland, PA 19013 | 2020-04-16 |
| 1477195287 | Andrew Matthews | Counselor | 301 West 15 Street, Chester, PA 19013 | 2019-10-14 |
| 1780241133 | Raashidah Elizabeth Bowman | Contractor | 1208 Remington Street, Chester, PA 19013 | 2019-05-21 |
| 1134609464 | Shamira Clintonia Johnson | Nurse's Aide | 217 W 5th St, Chester, PA 19013 | 2018-08-16 |
| 1871081299 | Michael Briskey | Student in an Organized Health Care Education/Training Program | 1 Medical Center Blv.d, Chester, PA 19013 | 2018-05-01 |
| 1356845499 | Sonia Gaur | Internal Medicine | 1 Medical Center Blvd Fl 3, Chester, PA 19013 | 2018-03-22 |
| 1548619232 | Beth Barol | Social Worker | 1602 Walnut St, Center for Social Work Education, Chester, PA 19013 | 2016-06-03 |
| 1235594888 | Eryka Jackson | Counselor | 516 West 5th Street, Chester, PA 19013 | 2015-12-28 |
| 1437553146 | Erin Hipple | Counselor | 200 West 9th St, Chester, PA 19013 | 2014-10-09 |
| 1588079867 | Crozer Chester Medical Center | Clinic/Center | 201 Bridgewater Road, Chester Township, PA 19013 | 2014-06-25 |
| Find all providers in zip 19013 | ||||
| Taxonomy Code | 385H00000X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144680109 | Children's Choice of Maryland, Inc | Respite Care | 1563 Postal Rd, Suite 3c, Chester, MD 21619-2299 | 2016-03-03 |
| 1659618320 | Faithful Friends Personal Care Services, LLC | Respite Care | 13500 Laughter Ct, Chester, VA 23831-5218 | 2013-01-14 |
| 1669755344 | Eula Mae Davis | Respite Care | 1128 W 3rd St, Chester, PA 19013-3622 | 2011-09-20 |
| 1609916188 | Acsr, Inc. | Respite Care | 609 Columbia Rd, Chester, SC 29706-8399 | 2007-02-07 |
| 1245786425 | The Children's Choice of Maryland, Inc | Respite Care | 1563 Postal Rd, Suite 3b, Chester, MD 21619-2299 | 2016-08-29 |
| 1649660838 | Sharon Y Johnson &associates | Respite Care | 12706 Parker Ln, Chester, VA 23831-5130 | 2015-01-27 |
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| 1144833591 | Companion Nurses Home Health LLC | Respite Care | 1010 N Hancock St Ofc 141, Philadelphia, PA 19123-2334 | 2020-08-26 |
| 1740802735 | Am Pm North America Inc. | Respite Care | 2318 Rosemore Ave Apt J23, Glenside, PA 19038-4150 | 2020-05-12 |
| 1053959494 | Alyosha Home Care LLC | Respite Care | 615 Andover Rd, Upper Darby, PA 19082-5203 | 2019-12-17 |
| 1508426933 | Public Health Management Corporation | Respite Care | 1221 N 19th St, Philadelphia, PA 19121-4901 | 2019-06-18 |
| 1710457072 | Meridian Home Care | Respite Care | 1510 Cecil B Moore Ave Ste 301, Philadelphia, PA 19121-3411 | 2018-11-29 |
| 1417455734 | Jevs Care At Home | Respite Care | 6315 Forbes Ave Ste B025, Pittsburgh, PA 15217-1731 | 2018-02-01 |
| 1851808307 | Agewell Home Helpers Inc. | Respite Care | 110 Munsey Ave, Pittsburgh, PA 15227-2946 | 2018-01-05 |
| 1417464447 | Lagom Care LLC | Respite Care | 7718 Castor Ave Ste 2, Philadelphia, PA 19152-3624 | 2017-12-29 |
| 1982116844 | Jevs Care At Home | Respite Care | 9350 Ashton Rd Rm 102, Philadelphia, PA 19114-7401 | 2017-11-01 |
| 1881104404 | Cherish Your Loved Ones LLC | Respite Care | 148 4th Ave, Aliquippa, PA 15001-3334 | 2017-10-10 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.