Healthcare Provider Details

I. General information

NPI: 1659580801
Provider Name (Legal Business Name): COMMUNITY HEALYH CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1038 E CHESTNUT AVE SUITE 110
VINELAND NJ
08360-5800
US

IV. Provider business mailing address

70 COHANSEY ST PO BOX 597
BRIDGETON NJ
08302-1918
US

V. Phone/Fax

Practice location:
  • Phone: 856-691-3300
  • Fax: 856-794-7183
Mailing address:
  • Phone: 856-691-3300
  • Fax: 856-794-7183

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: SABRINA CANNADY
Title or Position: DIRECTOR OF FINANCIAL SERVICES
Credential:
Phone: 856-691-3300