OrganizationActive
Prospect Ccmc, LLC
NPI 1790132785 · Clinic/Center · Chester, PA
Prospect Ccmc, LLC is a Clinic/Center organization in Chester, PA (NPI 1790132785).
Provider details
- NPI number
- 1790132785
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Robert Elders, Secretary(714) 788-1249
Specialties & taxonomies
Ambulatory Health Care Facilities
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) 619-8700
Street-level locationGet directions
Mailing address
301 W 15th St
Chester, PA 19013-5300
Other names (DBA / former)
- Other name
- Peer Support Services Program
- Other name
- Peer Support Services Program
Registry dates
- Enumerated
- 2016-05-19
- Last updated
- 2021-01-15
- Certified
- 2021-01-15
Frequently asked questions
- What is Prospect Ccmc, LLC's NPI number?
- Prospect Ccmc, LLC's National Provider Identifier (NPI) is 1790132785, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Prospect Ccmc, LLC?
- Prospect Ccmc, LLC is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Prospect Ccmc, LLC located?
- Prospect Ccmc, LLC's practice location on file with NPPES is 301 W 15th St, Chester, PA 19013-5300.
- What is Prospect Ccmc, LLC's phone number?
- The practice phone number listed in the NPPES registry for Prospect Ccmc, LLC is (610) 619-8700.
- Who is the authorized official for Prospect Ccmc, LLC?
- The authorized official listed on Prospect Ccmc, LLC's NPPES record is Robert Elders, Secretary. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Prospect Ccmc, LLC's NPI active?
- Yes — Prospect Ccmc, LLC's NPI (1790132785) is active in the NPPES registry as of the last update on 2021-01-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.