COMMUNITY SUPPORT SERVICES, INC. (NPI# 1093246340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093246340 |
| Entity Type | Organization |
| Organization Name | COMMUNITY SUPPORT SERVICES, INC. |
| Practice Address |
5540 W Glendale Ave Ste 102 Glendale AZ 85301-2550 |
| Mailing Address |
10645 N Tatum Blvd Phoenix AZ 85028-3068 |
| Practice Telephone | 4806295994 |
| Practice Fax Number | 4806295996 |
| Mailing Telephone | 6023094210 |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2018-03-29 |
| Authorized Official Name | ARLETTE ITAMI (PRESIDENT/CEO) |
| Authorized Official Telephone | 4806295994 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | OTC8459 | AZ | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 249529 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508027350 | Community Support Services, Inc. | Respite Care | 14292 E Evans Ave, Aurora, CO 80014-1432 | 2008-06-24 |
| 1124072111 | Community Support Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9075 Comprint Ct, Gaithersburg, MD 20877-1306 | 2006-05-22 |
| 1053309294 | Community Support Services, Inc. | Counselor | 150 Cross St, Akron, OH 44311-1026 | 2005-10-12 |
| 1033646468 | Community Support Services, Inc. | Local Education Agency (LEA) | 9075 Comprint Ct, Gaithersburg, MD 20877-1306 | 2017-05-16 |
| 1578008546 | Community Support Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9075 Comprint Ct, Gaithersburg, MD 20877-1306 | 2016-12-30 |
| 1336417641 | Community Support Services, Inc. | Clinic/Center | 5062 N 19th Ave Ste 102, Phoenix, AZ 85015-3225 | 2011-12-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COMMUNITY SUPPORT SERVICES, INC. | 9075 Comprint Ct, Gaithersburg, MD 20877-1306 |
| Oregon Corporations, Companies and Business Names | COMMUNITY SUPPORT SERVICES, INC. | 3276 Commercial St Se, Salem, OR 97302 |
| Street Address |
5540 W GLENDALE AVE STE 102 |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85301-2550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164051900 | Stateserv Medical of Phoenix LLC | Durable Medical Equipment & Medical Supplies | 5234 W. Missouri, Glendale, AZ 85301 | 2020-04-03 |
| 1366988933 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 5148 W. Frier Dr, Glendale, AZ 85301 | 2017-01-06 |
| 1306227830 | Sage Counseling, Inc. | Community/Behavioral Health | 6610 N. 47th Avenue, Suites 6, 7 & 8, Glendale, AZ 85301 | 2015-06-10 |
| 1477802023 | Lori Wyke | Specialist/Technologist | 7301 N. 58th Avenue, Glendale, AZ 85301 | 2012-08-29 |
| 1144581257 | Jerry Harold Brue | Pharmacist | 7772 N 52nd Dr, Glendale, AZ 85301 | 2012-06-05 |
| 1558632935 | Jasmine Rojas | Licensed Practical Nurse | 7301 N. 58th Ave., Glendale Elem. Dist 40, Glendale, AZ 85301 | 2012-01-18 |
| 1184950438 | Victoria Joan Petti | Physical Therapist | 5125 N. 58th Ave, Glendale, AZ 85301 | 2009-10-21 |
| 1598907479 | Westside Speech & Language Services | Clinic/Center | 7415 N. 59th Ave, Glendale, AZ 85301 | 2009-03-24 |
| 1992940241 | Lorraine Pimentel Montes | Specialist | 4441 W. Bethany Home Rd, Glendale, AZ 85301 | 2008-12-15 |
| 1770739922 | Patricia Lee Click | Social Worker | 5400 W. Northern Avenue, Suite 120, Glendale, AZ 85301 | 2008-08-07 |
| Find all providers in zip 85301 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821602889 | Plsn Corp. | Community/Behavioral Health | 8751 N 51st Ave Ste 108, Glendale, AZ 85302-4943 | 2020-09-06 |
| 1861010340 | Redfield Behavioral Health LLC | Community/Behavioral Health | 4842 W Redfield Rd, Glendale, AZ 85306-4910 | 2020-07-10 |
| 1649895129 | Freedom Family Counseling, LLC | Community/Behavioral Health | 17250 N 43rd Ave Ste 4, Glendale, AZ 85308-4032 | 2020-06-10 |
| 1407482268 | Loloma Houses LLC | Community/Behavioral Health | 6125 W Sunnyside Dr, Glendale, AZ 85304-2533 | 2020-03-12 |
| 1922644897 | Best Care Behavioral Homes LLC | Community/Behavioral Health | 12009 N 45th Dr, Glendale, AZ 85304-3010 | 2019-11-26 |
| 1942841770 | Best Care Behavioral Homes LLC | Community/Behavioral Health | 10120 W Oregon Ave, Glendale, AZ 85307-4149 | 2019-10-02 |
| 1417420142 | Family Involvement Center, Inc | Community/Behavioral Health | 5044 W Cactus Rd, Glendale, AZ 85304-2243 | 2019-01-04 |
| 1740776640 | Anka Behavioral Health Incorporated | Community/Behavioral Health | 1014 Zook Dr, Glendale, CA 91202-2623 | 2018-07-03 |
| 1396253514 | Muco Behavioral Health Residential Home 2 | Community/Behavioral Health | 9010 N 63rd Dr, Glendale, AZ 85302-4031 | 2018-01-22 |
| 1629581988 | Tangeroad, LLC | Community/Behavioral Health | 229 N Central Ave Ste 402, Glendale, CA 91203-3542 | 2017-11-08 |
| Find all providers in GLENDALE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.