# COMMUNITY CENTERED HOME HEALTHCARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952915787
- **Authorized official:** MISS CYNTHIA RENEE BRUNSON RN (MSN, RN, APHN, CEO)
- **Authorized official phone:** (240) 605-6954

## Contact information

- **Practice address:** 12803 MARLOW PL, SILVER SPRING, MD 20904-7143
- **Practice address phone:** (240) 605-6954
- **Practice address fax:** (301) 890-3940
- **Mailing address:** 12803 MARLOW PL, SILVER SPRING, MD 20904-7143
- **Mailing address phone:** (240) 605-6954
- **Mailing address fax:** (301) 890-3940

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 251F00000X | Home Infusion Agency | — | NULL | — |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 310400000X | Assisted Living Facility | — | NULL | — |
| 3104A0625X | Assisted Living Facility (Mental Illness) | — | NULL | — |
| 3104A0630X | Assisted Living Facility (Behavioral Disturbances) | — | NULL | — |

## Other

- **Enumeration date:** 08/31/2020
- **Last updated:** 12/04/2020