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CCM HEALTHCARE, LLC
NPI 1982421095
Nurse Practitioner - Adult Health in Hollywood, MD

Active since September 21, 2024
42925 HUNGERFORD CT, HOLLYWOOD, MD 20636(240) 718-4820(657) 699-1592 Get Directions Write a Review

NPPES record last updated: July 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 9, 2025, Sep 21, 2024 (2 updates tracked since 2024).

About Ccm Healthcare, Llc NPPES

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

CCM HEALTHCARE, LLC (NPI 1982421095) is a healthcare organization registered as an adult health in Hollywood, Maryland and active in the NPI registry since September 2024. The organization lists Gretchen Ann Machesney, Owner, as its authorized official.

NPPES Registry Identity

NPI1982421095
Entity TypeOrganization
Primary Taxonomy363LA2200X
Legal Business NameCCM HEALTHCARE, LLC
Location Address42925 HUNGERFORD CTHollywood, MD 20636-3278
Mailing Address42925 Hungerford CtHollywood, MD 20636-3278 · (775) 771-6830
Phone(240) 718-4820
Fax(657) 699-1592
Organization SubpartNo
Authorized OfficialGretchen Ann MachesneyOwner · (240) 718-4820
Enumeration DateSeptember 21, 2024
Last NPPES UpdateJuly 9, 20252 updates tracked since enumeration
NPPES CertifiedJuly 9, 2025
✔ NPI 1982421095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
Also ListedNurse Practitioner · Community HealthTaxonomy 363LC1500X
42925 HUNGERFORD CT, Hollywood, MD 20636
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Other Identifiers 2

Other1134658867MD · Npi
Other1982421095MD · Business Npi

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Ccm Healthcare, LLC's NPI number?

The NPI number for Ccm Healthcare, LLC is 1982421095. It was assigned to this organization in the NPPES registry on September 21, 2024.

Where is Ccm Healthcare, LLC located?

Ccm Healthcare, LLC is located at 42925 Hungerford Ct, Hollywood, MD 20636. The listed phone number is (240) 718-4820.

What is Ccm Healthcare, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Ccm Healthcare, LLC was last updated on July 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.