Community Support Services, Inc.

LBN: Community Support Services, Inc.
Community Support Services, Inc. is an health care organization with primary practice located at 5062 N 19Th Ave Ste 102 , Phoenix AZ 85015-3225. The organization recently has 3 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Family Planning, Non-Surgical, Ambulatory Health Care Facilities / Primary Care. Agencies / Community/Behavioral Health is the primary health care specialty. Community Support Services, Inc. can be contacted via phone (480) 629-5994, or through Itami, Arlette via phone (480) 629-5994.

Contact Information

Primary practice address
5062 N 19Th Ave Ste 102 Phoenix AZ 85015-3225
Phone: (480) 629-5994
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Itami, Arlette
Phone: (480) 629-5994

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X BH-3873 Arizona
Ambulatory Health Care Facilities / Family Planning, Non-Surgical 261QF0050X
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1336417641
LBN Legal business name Community Support Services, Inc.
DBA Doing business as
Authorized official Itami, Arlette
Entity Organization
Organization subpart 1 No
Enumeration date Dec 1st, 2011
Last updated Jun 20th, 2019 - about 6 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 1336417641 NPPES
Arizona MEDICAID 247316

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