Community Care Resources Inc
LBN: Community Care Resources Inc
Community Care Resources Inc is an health care organization with primary practice located at 6717 Stone Glen Drive , Middleton WI 53562-3876. The organization recently has 2 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Foster Care Agency. Agencies / Case Management is the primary health care specialty.
Community Care Resources Inc can be contacted via phone (608) 827-7100, or through Simon, Daniel J via phone (608) 827-7100.
Contact Information
Primary practice address
6717 Stone Glen Drive
Middleton WI 53562-3876
Phone: (608) 827-7100
Fax: (608) 827-7101
Website:
Authorized official contact:
Name: Simon, Daniel J Master of Science in Social Work (MSSW)
Phone: (608) 827-7100
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Case Management | 251B00000X | 1220 | Wisconsin |
| Agencies / Foster Care Agency | 253J00000X | 180017 | Wisconsin |
Profile Details
| NPI number | 1669646584 |
|---|---|
| LBN Legal business name | Community Care Resources Inc |
| DBA Doing business as | |
| Authorized official | Simon, Daniel J Master of Science in Social Work (MSSW) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 22nd, 2008 |
| Last updated | Apr 22nd, 2008 - about 17 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669646584 | NPPES |
| Wisconsin | MEDICAID | 42179100 |
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