Provider Demographics
NPI:1285720482
Name:COMMUNITY CAREPARTNERS, INC
Entity type:Organization
Organization Name:COMMUNITY CAREPARTNERS, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:SHELLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:GILLESPIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-277-4800
Mailing Address - Street 1:68 SWEETEN CREEK RD
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-2318
Mailing Address - Country:US
Mailing Address - Phone:828-274-2400
Mailing Address - Fax:828-279-4808
Practice Address - Street 1:1 DOCTORS DR
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-4608
Practice Address - Country:US
Practice Address - Phone:828-254-3392
Practice Address - Fax:828-254-4380
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COMMUNITY CAREPARTNERS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-10-05
Last Update Date:2018-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X
NCH0081335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC046FXOtherBCBS PROVIDER NUMBER
NC2444136OtherUNITED HEALTH CARE PROV #
NC7703519Medicaid
NC046FXOtherBCBS PROVIDER NUMBER