Provider Demographics
NPI:1366780850
Name:COMMUNITY CARE MANAGEMENT PARTNERS LLC (CCMP)
Entity type:Organization
Organization Name:COMMUNITY CARE MANAGEMENT PARTNERS LLC (CCMP)
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SVP, LEGAL & GOV'T AFFAIRS
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:BLUM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-609-1541
Mailing Address - Street 1:107 E 70TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-4990
Mailing Address - Country:US
Mailing Address - Phone:212-609-7770
Mailing Address - Fax:
Practice Address - Street 1:1250 BROADWAY
Practice Address - Street 2:22ND FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-3701
Practice Address - Country:US
Practice Address - Phone:212-609-7770
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VISITING NURSE SERVICE OF NEW YORK HOME CARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-01-18
Last Update Date:2013-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management