Provider Demographics
NPI:1861280570
Name:CCI KARE LLC
Entity type:Organization
Organization Name:CCI KARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHUKWUDI
Authorized Official - Middle Name:CHRISTIAN
Authorized Official - Last Name:IFEDINMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-215-3171
Mailing Address - Street 1:630 FREEDOM BUSINESS CTR DR STE 300
Mailing Address - Street 2:
Mailing Address - City:KING OF PRUSSIA
Mailing Address - State:PA
Mailing Address - Zip Code:19406-0201
Mailing Address - Country:US
Mailing Address - Phone:610-215-3171
Mailing Address - Fax:
Practice Address - Street 1:630 FREEDOM BUSINESS CTR DR STE 300
Practice Address - Street 2:
Practice Address - City:KING OF PRUSSIA
Practice Address - State:PA
Practice Address - Zip Code:19406-0201
Practice Address - Country:US
Practice Address - Phone:610-215-3171
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-30
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care