Community Care Health Plan, INC
Health Maintenance Organization in Brookfield, WI. Organization (NPI-2).
NPI number1154479822
StatusActive
Last updated in NPPESDec 15, 2021
Details
- NPI
- 1154479822
- Entity type
- Organization (NPI-2)
- Legal business name
- Community Care Health Plan, INC
- Organization subpart
- Yes
- Enumeration date
- Jan 8, 2007
- Certification date
- Dec 15, 2021
- Last updated
- Dec 15, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 302R00000X | Health Maintenance Organization | – | WI | Yes |
| 251T00000X | PACE Provider Organization | – | – | |
| 261QA0600X | Clinic/Center, Adult Day Care | – | – |
Practice location
205 Bishops WayBrookfield, WI 53005-6247
Phone 414-231-4000 · Fax 262-827-7051
Mailing address
205 Bishops WayBrookfield, WI 53005-6247
Phone 414-231-4000 · Fax 262-827-7051
Authorized official
Nancy Melnick
Regulatory Affairs Specialist
2622079362
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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