COMMUNITY SUPPORT NETWORK (NPI# 1255656609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255656609 |
| Entity Type | Organization |
| Organization Name | COMMUNITY SUPPORT NETWORK |
| Practice Address |
3595 Sullivant Ave Columbus OH 43228-2121 |
| Practice Telephone | 6147520333 |
| Practice Fax Number | 6149953268 |
| Mailing Telephone | 6147520333 |
| Mailing Fax Number | 6149953268 |
| Enumeration Date | 2010-03-29 |
| Last Update Date | 2010-03-29 |
| Authorized Official Name | MR. ROBERT SHORT (CEO) |
| Authorized Official Telephone | 6147520333 |
| Is Organization Subpart | Y |
| Parent Organization Name | TWIN VALLEY BEHAVIORAL HEALTHCARE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | I 0007788 | OH | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619276839 | Community Support Network | Case Management | 2749 1st Ave N, St Petersburg, FL 33713-8723 | 2011-03-28 |
| 1396954087 | Community Support Network | Community Based Residential Treatment Facility, Mental Illness | 21 Faye Ct, Petaluma, CA 94952-2202 | 2007-05-21 |
| 1386869246 | Community Support Network | Community Based Residential Treatment Facility, Mental Illness | 201 S E St, Santa Rosa, CA 95404-4709 | 2007-04-16 |
| 1427272004 | Community Support Network | Community Based Residential Treatment Facility, Mental Illness | 112 Brown St, Santa Rosa, CA 95404-5007 | 2007-04-13 |
| 1922121581 | Community Support Network | Community Based Residential Treatment Facility, Mental Illness | 420 E Cotati Ave, Cotati, CA 94931-4442 | 2007-04-09 |
| 1992828966 | Community Support Network | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1550 N. Dutton Ave, Santa Rosa, CA 95401 | 2007-04-06 |
| 1962861369 | Community Support Network | Community Based Residential Treatment Facility, Mental Illness | 634 Pressley St, Santa Rosa, CA 95404-5526 | 2016-02-15 |
| 1336349398 | Community Support Network | Community Based Residential Treatment Facility, Mental Illness | 634 Pressley St, Santa Rosa, CA 95404-5526 | 2007-07-18 |
| 1225259179 | Community Support Network | Case Management | 634 Pressley St, Santa Rosa, CA 95403 | 2007-05-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | COMMUNITY SUPPORT NETWORK | 8221 Sw Mariners Dr, Wilsonville, OR 97070 |
| Street Address |
3595 SULLIVANT AVE |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43228-2121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538134739 | State of Ohio Office of Budget and Management, State Accounting | Case Management | 3595 Sullivant Ave, Columbus, OH 43228-2121 | 2006-02-21 |
| 1114321205 | Rosemary Anthony | Social Worker | 3595 Sullivant Ave, Columbus, OH 43228-2121 | 2014-10-17 |
| 1497009740 | Daniel Lee | Social Worker | 3595 Sullivant Ave, Columbus, OH 43228-2121 | 2012-11-07 |
| 1184949281 | Lois Reffitt Van Barriger | Counselor | 3595 Sullivant Ave, Columbus, OH 43228-2121 | 2010-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629694229 | The Laurels of West Columbus, LLC | Skilled Nursing Facility | 441 Norton Rd, Columbus, OH 43228 | 2020-06-19 |
| 1538788146 | Colin Rogers | Student in an Organized Health Care Education/Training Program | Ohiohealth Doctors Hospital, 5100 West Broad Street, Columbus, OH 43228 | 2020-04-14 |
| 1093343899 | Cameron Alvin Gachett | Student in an Organized Health Care Education/Training Program | Ohiohealth Doctors Hospital Community Medicine Clinic, 50 Old Village Road, Columbus, OH 43228 | 2020-03-29 |
| 1407483431 | Zachary Werner | Student in an Organized Health Care Education/Training Program | Ohio Health Doctors Hospital, 5100 West Broad Street, Columbus, OH 43228 | 2020-03-27 |
| 1831684232 | Medcare Clinic LLC | Clinic/Center | 4125 W Broad St, Columbus, OH 43228 | 2018-06-27 |
| 1952893950 | Midland Medical Group, LLC | Family Medicine | 1000 Georgesville Rd, Columbus, OH 43228 | 2018-06-05 |
| 1619478336 | Charles Norris Fennie | Student in an Organized Health Care Education/Training Program | Doctors Hospital Community Medicine Clinic, 50 Old Village Road, Columbus, OH 43228 | 2018-02-27 |
| 1902304389 | Icare Health & Wellness Medical Center, LLC | Counselor | 5152 W.broad St, Suite A, Columbus, OH 43228 | 2018-01-31 |
| 1104334523 | Inner Health Chiropractic, Inc | Chiropractor | 5125 West Broad Street, Inner Health Chiropractic, Columbus, OH 43228 | 2018-01-19 |
| 1205363777 | Optum Infusion Services 500, Inc. | Durable Medical Equipment & Medical Supplies | 2182 Dividend Drive, Columbus, OH 43228 | 2017-05-16 |
| Find all providers in zip 43228 | ||||
| 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 |
|---|---|---|---|---|
| 1609473529 | Susan M Baker, Lcsw Inc | Community/Behavioral Health | 404 Washington St Ste 201-2, Columbus, IN 47201-6791 | 2020-10-04 |
| 1336753466 | Push for Recovery, LLC | Community/Behavioral Health | 3880 Clime Road, Building 2/suite A, Columbus, OH 43228-3532 | 2020-09-05 |
| 1518576693 | Unit Seven LLC | Community/Behavioral Health | 1743 Lonsdale Rd Apt C, Columbus, OH 43232-2892 | 2020-07-24 |
| 1508481037 | Basecamp Recovery LLC | Community/Behavioral Health | 815 W Broad St Fl 2, Columbus, OH 43222-1464 | 2020-06-10 |
| 1760003420 | Community Alliance for Youth and Adults LLC | Community/Behavioral Health | 2550 Chestnut Oak Way, Columbus, OH 43228-9169 | 2020-05-04 |
| 1659834489 | Transcendent Case Management & Consulting, LLC | Community/Behavioral Health | 3587 Medina Ave, Columbus, OH 43224-3418 | 2019-04-09 |
| 1639634629 | Mind Over Matter Counseling | Community/Behavioral Health | 92 Northwoods Blvd Ste C1, Columbus, OH 43235-4720 | 2019-02-05 |
| 1902360225 | Kara Lynn Mccoy | Community/Behavioral Health | 4289 Highway 78, Columbus, MT 59019-7493 | 2019-01-31 |
| 1891278321 | Everlasting Peace Counseling and Support Services | Community/Behavioral Health | 2210 Wynnton Rd Ste 206, Columbus, GA 31906-5820 | 2018-09-11 |
| 1124517081 | Sunny Watford | Community/Behavioral Health | 2525 Tiller Lane, Ste 110, Columbus, OH 43231 | 2018-05-07 |
| Find all providers in COLUMBUS | ||||
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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.