Prospect Ccmc, LLC
Prospect Ccmc, LLC is a healthcare organization registered as Clinic/Center in Chester, PA, holding Type 2 (organization) NPI 1790132785 since 2016. The authorized official on file is Robert Elders, Secretary.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1790132785 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Prospect Ccmc, LLC |
| Other name | <Unavail> |
| Practice address | 301 W 15TH ST, Chester, PA, 19013 |
| Phone | 6106198700 |
| 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: 1790132785 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 |
| 1376990366 | Prospect Ccmc, LLC | Organization | Clinic/Center | Chester, PA |
| 1184071177 | Prospect Ccmc, LLC | Organization | Case Management Agency | Chester, PA |
Verify this record
Cross-check NPI 1790132785 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
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Where is Prospect Ccmc, LLC located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2021-01-15.