Prospect Ccmc, LLC
Prospect Ccmc, LLC is a healthcare organization registered as Clinic/Center in Chester, PA, holding Type 2 (organization) NPI 1376990366 since 2016. The authorized official on file is Robert Elders, Secretary.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1376990366 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Prospect Ccmc, LLC |
| Other name | <Unavail> |
| Practice address | 301 W 15TH ST, Chester, PA, 19013 |
| Phone | 6106198600 |
| Enumeration date | 2016-05-19 |
| Last updated in NPPES | 2021-01-15 |
Authorized official
| Name | Robert Elders |
|---|---|
| Title | Secretary |
| Phone | 7147881249 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | Primary | — | — |
Copy-ready billing details
Provider: Prospect Ccmc, LLC NPI: 1376990366 Taxonomy: 261Q00000X (Clinic/Center) Address: 301 W 15TH ST, Chester, PA, 19013
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1609922772 | Christopher Barrett | Individual | Podiatrist | Chester, PA |
| 1659528768 | Sarah Kline | Individual | Adult Psychiatric/Mental Health Registered Nurse | Chester, PA |
| 1245684380 | Prospect Ccmc, LLC | Organization | Respite Care | Chester, PA |
| 1255785390 | Prospect Ccmc, LLC | Organization | Psychiatric Hospital Unit | Chester, PA |
| 1366897241 | Prospect Ccmc, LLC | Organization | Clinic/Center | Chester, PA |
| 1437506755 | Prospect Ccmc, LLC | Organization | Community/Behavioral Health Agency | Chester, PA |
| 1184071177 | Prospect Ccmc, LLC | Organization | Case Management Agency | Chester, PA |
| 1265889257 | Prospect Ccmc, LLC | Organization | Case Management Agency | Chester, PA |
Verify this record
Cross-check NPI 1376990366 against the authoritative CMS record: view Prospect Ccmc, LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Prospect Ccmc, LLC?
Who is the authorized official for Prospect Ccmc, LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2021-01-15.