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PROSPECT CCMC, LLC
NPI 1245684380
Respite Care in Chester, PA

Active since April 14, 2016
301 W 15TH ST, CHESTER, PA 19013(610) 619-8700 Get Directions Write a Review

NPPES record last updated: January 15, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 15, 2021, May 29, 2019, Feb 13, 2019 (3 updates tracked since 2019).

About Prospect Ccmc, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROSPECT CCMC, LLC (NPI 1245684380) is a healthcare organization registered as a respite care in Chester, Pennsylvania and active in the NPI registry since April 2016. The organization lists Robert Jon Elders, Secretary, as its authorized official.

NPPES Registry Identity

NPI1245684380
Entity TypeOrganization
Primary Taxonomy385H00000X
Legal Business NamePROSPECT CCMC, LLC
Location Address301 W 15TH STChester, PA 19013-5300
Mailing Address301 W 15th StChester, PA 19013-5300 · (610) 619-8700
Phone(610) 619-8700
Organization SubpartNo
Authorized OfficialRobert Jon EldersSecretary · (714) 788-1249
Enumeration DateApril 14, 2016
Last NPPES UpdateJanuary 15, 20213 updates tracked since enumeration
NPPES CertifiedJanuary 15, 2021
✔ NPI 1245684380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRespite CareRespite Care Facility
Taxonomy Code385H00000X
301 W 15TH ST, Chester, PA 19013
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ERIKA PILEGGI
Counselor (Addiction (Substance Use Disorder))
301 W 15TH ST
CHESTER, PA 19013
Delaware County (610) 619-8600
MALIK MUNDREY BA
Case Manager/Care Coordinator
301 W 15TH ST
CHESTER, PA 19013
Delaware County (610) 619-8600
CASSANDRA KATHRYN WAYSON GERGELY
Counselor (Mental Health)
301 W 15TH ST
CHESTER, PA 19013
Delaware County (610) 619-8799
MILTON MYERS
Case Management
301 W 15TH ST
CHESTER, PA 19013
Delaware County (610) 619-8600
CAILIN ELIZABETH SHALLOW
Case Manager/Care Coordinator
301 W 15TH ST
CHESTER, PA 19013
Delaware County (610) 619-8700
EMILY ANN PIZARRO
Case Manager/Care Coordinator
301 W 15TH ST
CHESTER, PA 19013
Delaware County (610) 619-8769
VIVIAN TYLER AMFT
Counselor (Mental Health)
301 W 15TH ST
CHESTER, PA 19013
Delaware County (610) 619-8741
BRIANA MONET BOOKHARD
Case Manager/Care Coordinator
301 W 15TH ST
CHESTER, PA 19013
Delaware County (610) 619-8774

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Prospect Ccmc, LLC's NPI number?

The NPI number for Prospect Ccmc, LLC is 1245684380. It was assigned to this organization in the NPPES registry on April 14, 2016.

Where is Prospect Ccmc, LLC located?

Prospect Ccmc, LLC is located at 301 W 15th St, Chester, PA 19013. The listed phone number is (610) 619-8700.

What is Prospect Ccmc, LLC's specialty?

The primary specialty registered for this NPI is Respite Care with taxonomy code 385H00000X.

When was this NPI record last updated?

The NPPES record for Prospect Ccmc, LLC was last updated on January 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.