OrganizationActive
Prospect Ccmc, LLC
NPI 1164879151 · Case Management Agency · Chester, PA
Provider details
- NPI number
- 1164879151
- Entity type
- Organization
- Primary specialty
- Case Management AgencyAgencies
- Organization subpart
- No
- Authorized official
- Robert Elders, Secretary(714) 788-1249
Specialties & taxonomies
Agencies
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
301 W 15th St
Chester, PA 19013-5300
Phone: (610) 619-8600
Street-level locationGet directions
Mailing address
301 W 15th St
Chester, PA 19013-5300
Other names (DBA / former)
- Other name
- D&a Iop
- Other name
- D&a Iop
Registry dates
- Enumerated
- 2016-05-19
- Last updated
- 2021-01-11
- Certified
- 2021-01-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.