Community Support Service

LBN: Community Support Service
Community Support Service is an health care organization with primary practice located at 9 Terrace Way Ste A , Greensboro NC 27403-3667. The organization recently has 3 registered licenses in different health care specialties including Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children. Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities is the primary health care specialty. Community Support Service can be contacted via phone (336) 855-1810, or through Ferguson, Regina via phone (336) 855-1810.

Contact Information

Primary practice address
9 Terrace Way Ste A Greensboro NC 27403-3667
Phone: (336) 855-1810
Fax: (336) 855-1834
Website:
Map and Directions
Authorized official contact:
Name: Ferguson, Regina
Phone: (336) 855-1810

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X

Profile Details

NPI number 1235249285
LBN Legal business name Community Support Service
DBA Doing business as
Authorized official Ferguson, Regina
Entity Organization
Organization subpart 1 No
Enumeration date Aug 30th, 2006
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235249285 NPPES
North Carolina MEDICAID 3409096

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