COMMUNITY CARE SERVICES LLC (NPI# 1497226823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497226823 |
| Entity Type | Organization |
| Organization Name | COMMUNITY CARE SERVICES LLC |
| Practice Address |
75 Pringle Way Ste 300 Reno NV 89502-8425 |
| Mailing Address |
850 Harvard Way Reno NV 89502-2055 |
| Practice Telephone | 7759825000 |
| Practice Fax Number | 7759823900 |
| Mailing Telephone | 7759825262 |
| Mailing Fax Number | 7759825496 |
| Enumeration Date | 2018-12-11 |
| Last Update Date | 2018-12-11 |
| Authorized Official Name | DAWN D AHNER (EVP AND CHIEF ADMIN OFFICER) |
| Authorized Official Telephone | 7759824404 |
| Is Organization Subpart | Y |
| Parent Organization Name | COMMUNITY CARE SERVICES LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Renown Health Medical Group Pediatrics | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 15 Mccabe Dr Ste 100, Reno, NV 895114815 | 7759825000 | 7759823900 |
| 901 E 2nd St Ste 201, Reno, NV 895021186 | 7759825000 | 7759823971 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891236840 | Community Care Services LLC | Counselor | 7356 Garners Ferry Rd Ste 130, Columbia, SC 29209-2146 | 2017-03-10 |
| 1538534037 | Community Care Services LLC | Exclusive Provider Organization | 1070 Henslow Ave N, Oakdale, MN 55128-5858 | 2015-12-09 |
| 1336746551 | Community Care Services LLC | Counselor | 75 Pringle Way Ste 300, Reno, NV 89502-8425 | 2020-10-01 |
| 1083178065 | Community Care Services LLC | Emergency Medicine | 1155 Mill St, Reno, NV 89502-1576 | 2019-01-24 |
| 1952872384 | Community Care Services LLC | Internal Medicine | 1155 Mill St, Reno, NV 89502-1576 | 2018-12-11 |
| 1851862288 | Community Care Services LLC | Pediatrics | 1343 Newlands Dr W, Fernley, NV 89408-8926 | 2018-12-11 |
| 1306317730 | Community Care Services LLC | Internal Medicine | 75 Pringle Way Ste 801, Reno, NV 89502-8400 | 2018-12-11 |
| 1932670478 | Community Care Services LLC | Psychologist | 85 Kirman Ave Ste 200, Reno, NV 89502-1339 | 2018-12-10 |
| 1841761384 | Community Care Services LLC | Internal Medicine | 1500 E 2nd St Ste 201, Reno, NV 89502-1196 | 2018-12-10 |
| 1487125977 | Community Care Services LLC | Pediatrics | 75 Pringle Way Ste 505, Reno, NV 89502-1469 | 2018-12-10 |
| Street Address |
75 PRINGLE WAY STE 300 |
| City | RENO |
| State | NV |
| Zip Code | 89502-8425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750455382 | Angela Marie Adami | Social Worker | 75 Pringle Way Ste 300, Reno, NV 89502-8425 | 2006-11-17 |
| 1336746551 | Community Care Services LLC | Counselor | 75 Pringle Way Ste 300, Reno, NV 89502-8425 | 2020-10-01 |
| 1912296096 | Brittany Lavoy | Pediatrics | 75 Pringle Way Ste 300, Reno, NV 89502-8425 | 2011-03-29 |
| 1588866917 | Pediatric After-hours Care | Pediatrics | 75 Pringle Way Ste 300, Reno, NV 89502-8425 | 2007-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992314264 | State of Nevada | Community/Behavioral Health | 4600 Kietzke Lane Bldg D, Reno, NV 89502 | 2020-07-23 |
| 1447879259 | Ryan Johnson | Student in an Organized Health Care Education/Training Program | 1155 Mill St. W-11, Reno, NV 89502 | 2020-04-11 |
| 1396378063 | Domingko Loney | Chore Provider | 1325 Air Motive Wat St 262, Reno, NV 89502 | 2020-02-20 |
| 1053954842 | Derek Craig | Home Health Aide | 1000 Havard Way #29, Reno, NV 89502 | 2019-10-24 |
| 1477108124 | Marisa Rachael Traversie | Nurse Practitioner | 910 Vista Boulevard, Sparks, NV 89502 | 2019-08-08 |
| 1912564675 | Patrick Llewellyn Merrill | Social Worker | 975 Kirman Ave - Ch 116, Reno, NV 89502 | 2019-05-28 |
| 1881154706 | Naresh Kumar Veerabattini | Student in an Organized Health Care Education/Training Program | 1155 Mill St, Renown Regional Medical Center, W11 Academic Department Offices, Reno, NV 89502 | 2019-03-25 |
| 1053899187 | Daphne London | Behavioral Analyst | 1325 Airmotive Way Ste 260, Reno, NV 89502 | 2018-07-31 |
| 1790271609 | Jennifer J Padolina | Optometrist | 2296 Kietzke Ln, Reno, NV 89502 | 2018-07-03 |
| 1336630185 | Lindsey Cherie Cooper | Technician | 3563 Sol Grande Ct, Reno, NV 89502 | 2018-05-27 |
| Find all providers in zip 89502 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437528825 | Tammy Roesler Md PC | Pediatrics | 3725 Lakeside Dr, Reno, NV 89509-5239 | 2015-09-16 |
| 1952703779 | Mark E Swanson | Pediatrics | 5190 Neil Rd., #215, Reno, NV 98502 | 2014-09-24 |
| 1245596055 | The Medical Profession, LLC | Pediatrics | 5301 Reno Corporate Dr., Reno, NV 89511 | 2012-04-05 |
| 1972874170 | Mayenne Alonzo Karelitz | Pediatrics | 5010 Ventana Pkwy, Reno, NV 89511-5605 | 2012-01-19 |
| 1578859377 | Nancy Heinz Sader | Pediatrics | 7215 Lingfield Dr, Reno, NV 89502-9662 | 2011-06-21 |
| 1114217502 | Megan Jean Dory | Pediatrics | 645 N Arlington Ave Ste 620, Reno, NV 89503-4444 | 2011-04-19 |
| 1699917294 | Christina Elise Raman | Pediatrics | 6350 Mae Anne Ave Ste 3, Reno, NV 89523-4718 | 2009-03-27 |
| 1194970921 | The Speicher Medical Grp | Pediatrics | 75 Pringle # 301, Reno, NV 89502 | 2008-11-20 |
| 1235399767 | Ron Max Aryel | Pediatrics | 6548 South Mccarran Blvd., Suite A, Reno, NV 89509-6150 | 2008-06-09 |
| 1720276587 | Shaji Mathew Md., P.C. | Pediatrics | 3639 Warren Way, Suite #100, Reno, NV 89509 | 2007-10-05 |
| Find all providers in RENO | ||||
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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.