Organization
COMMUNITY CENTERED HOME HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS CYNTHIA RENEE BRUNSON RN (MSN, RN, APHN, CEO)
(240) 605-6954
Entity
Organization
Contact information
Practice address
12803 MARLOW PL, SILVER SPRING, MD 20904-7143
(240) 605-6954
(301) 890-3940
Mailing address
12803 MARLOW PL, SILVER SPRING, MD 20904-7143
(240) 605-6954
(301) 890-3940
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251F00000X
Home Infusion Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
310400000X
Assisted Living Facility
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207
—
MD
Enumeration date
08/31/2020
Last updated
12/04/2020
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