Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Complete Care Coordination Agency

Organization Health Maintenance Organization · NPI 1114474459

Complete Care Coordination Agency is a Health Maintenance Organization in Philadelphia, Pennsylvania. Registered with an NPI since 2016.

In the registry since
2016

Practice location Address checks out

6324 Shelbourne St
Philadelphia, PA 19111-5615
Phone: (215) 668-5769
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Health Maintenance Organization (primary) Taxonomy 302R00000X

Record details

NPI number1114474459
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationComplete Care Coordination Agency
Authorized official Johanne Mesidor-Dorsainvil — Chief Executive Officer · (215) 668-5769
NPI enumeratedSeptember 3, 2016
Last updated in NPPESSeptember 3, 2016
Mailing address6324 Shelbourne St, Philadelphia, PA 19111-5615

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