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:
Health care specialties
| Specialty | Code | License # | 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 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336417641 | NPPES |
| Arizona | MEDICAID | 247316 |
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