Provider Demographics
NPI:1104615780
Name:COMMUNITY CARE PARTNERS
Entity type:Organization
Organization Name:COMMUNITY CARE PARTNERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SHONTERREO
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-498-5399
Mailing Address - Street 1:9980 ROYSTON HWY
Mailing Address - Street 2:
Mailing Address - City:ROYSTON
Mailing Address - State:GA
Mailing Address - Zip Code:30662-4861
Mailing Address - Country:US
Mailing Address - Phone:706-498-5399
Mailing Address - Fax:
Practice Address - Street 1:9980 ROYSTON HWY
Practice Address - Street 2:
Practice Address - City:ROYSTON
Practice Address - State:GA
Practice Address - Zip Code:30662-4861
Practice Address - Country:US
Practice Address - Phone:706-498-5399
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-01
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No163WI0500XNursing Service ProvidersRegistered NurseInfusion Therapy
No251B00000XAgenciesCase Management
No251E00000XAgenciesHome Health
No251F00000XAgenciesHome Infusion
No251J00000XAgenciesNursing Care
No261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities
No261QE0700XAmbulatory Health Care FacilitiesClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion Therapy
No261QV0200XAmbulatory Health Care FacilitiesClinic/CenterVA