COMMUNITY CARE INC (NPI# 1932213923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932213923 |
| Entity Type | Organization |
| Organization Name | COMMUNITY CARE INC |
| Other Organization Name | COMMUNITY CARE INC PHARMACY |
| Practice Address |
1555 S Layton Blvd Milwaukee WI 53215-1924 |
| Practice Telephone | 4149022397 |
| Practice Fax Number | 4146499149 |
| Mailing Telephone | 4149022397 |
| Mailing Fax Number | 4146499149 |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2019-10-24 |
| Authorized Official Name | MR. KENNETH MUNSON (CEO) |
| Authorized Official Telephone | 4142314000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| Y | 3336M0003X |
Pharmacy Specialization: Managed Care Organization Pharmacy |
8638-42 | WI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 100036712 | 05 | |
| PK | 2110889 | 01 |
| Other Name | Type Code |
|---|---|
| COMMUNITY CARE INC PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598811911 | Community Care Inc | Clinic/Center | 3443 Us Highway 9, Freehold, NJ 07728-9153 | 2007-01-26 |
| 1811058738 | Community Care Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 246 E. Hwy 29, Bertram, TX 78605 | 2006-12-13 |
| 1770565822 | Community Care Inc | Intermediate Care Facility, Mentally Retarded | 246 E Hwy 29, Bertram, TX 78605 | 2005-11-15 |
| Street Address |
1555 S LAYTON BLVD |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53215-1924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790767325 | Raymond George Herschleb | Physical Therapist | 1555 S Layton Blvd, Suite 224, Milwaukee, WI 53215-1924 | 2005-11-18 |
| 1487085445 | Lisa Senour | Registered Nurse | 1555 S Layton Blvd, Milwaukee, WI 53215-1924 | 2013-12-02 |
| 1164773974 | Catherine Anne Binon | Licensed Practical Nurse | 1555 S Layton Blvd, Milwaukee, WI 53215-1924 | 2012-09-20 |
| 1184975963 | Angela Widenski | Licensed Practical Nurse | 1555 S Layton Blvd, Milwaukee, WI 53215-1924 | 2012-09-20 |
| 1851641617 | Deborah Denice White | Licensed Practical Nurse | 1555 S Layton Blvd, Milwaukee, WI 53215-1924 | 2012-09-19 |
| 1013267103 | Laurie Marie Morgan-sajdowitz | Licensed Practical Nurse | 1555 S Layton Blvd, Milwaukee, WI 53215-1924 | 2012-09-15 |
| 1922358456 | Susan Carol Jashinske | Registered Nurse | 1555 S Layton Blvd, Milwaukee, WI 53215-1924 | 2012-09-12 |
| 1225387038 | Lori Postotnik | Dental Hygienist | 1555 S Layton Blvd, Milwaukee, WI 53215-1924 | 2012-09-07 |
| 1457600611 | Tammera Lee Schneider | Registered Nurse | 1555 S Layton Blvd, Milwaukee, WI 53215-1924 | 2012-09-04 |
| 1114276334 | Mildred Schliewe | Registered Nurse | 1555 S Layton Blvd, Milwaukee, WI 53215-1924 | 2012-09-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841829918 | Joshua Michael Brooks | Student in an Organized Health Care Education/Training Program | Aurora St. Lukes Medical Center 2901 W Oklahoma Ave, Milwaukee, WI 53215 | 2020-04-02 |
| 1053967091 | Kristina Strupp | Clinical Nurse Specialist | 2900 W. Oaklahoma Avenue, Milwaukee, WI 53215 | 2019-08-15 |
| 1427510296 | Madelyn Pickle | Student in an Organized Health Care Education/Training Program | 2801 W. Kinnickinnic Rd Ste 250, Milwaukee, WI 53215 | 2019-04-02 |
| 1932601838 | Elizabeth D Morawski | Nurse Practitioner | 2801 Kinnickinnic Parkway, Suite 630, Milwaukee, WI 53215 | 2018-03-06 |
| 1457872673 | Canzata Kimberly Dent | Counselor | 2727 W. Cleveland Suite 204, Milwaukee, WI 53215 | 2017-06-28 |
| 1538689955 | Christian Pena | Durable Medical Equipment & Medical Supplies | 2800 W Forest Home Ave, Suite 100, Milwaukee, WI 53215 | 2017-06-27 |
| 1386178804 | Dane A Olsen | Family Medicine | 801 W Kinnickinnic River Pkwy., Suite 250, Milwaukee, WI 53215 | 2017-04-12 |
| 1811443492 | Thomas Diamond | Physical Therapist | 2901 Kinnickinnic Parkway, Milwaukee, WI 53215 | 2016-09-01 |
| 1487055133 | Sam Khalili | Otolaryngology | 2801 W Kinnickinnic River Pkwy # 680, Milwaukee, WI 53215 | 2014-09-12 |
| 1992105621 | Nicole R Hall | Nurse Practitioner | 2901 S Kinnickinnic Ave, Milwaukee, WI 53215 | 2014-08-29 |
| Find all providers in zip 53215 | ||||
| Taxonomy Code | 3336M0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Managed Care Organization Pharmacy |
| A pharmacy owned by a managed care organization (MCO) used by pharmacists for the compounding and dispensing of medicinal preparations to that MCO’s covered members only. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
Please comment or provide details below to improve the information on COMMUNITY CARE INC.
| 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.