COMMUNITY SUPPORT SERVICES, INC. (NPI# 1578008546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578008546 |
| Entity Type | Organization |
| Organization Name | COMMUNITY SUPPORT SERVICES, INC. |
| Practice Address |
9075 Comprint Ct Gaithersburg MD 20877-1306 |
| Practice Telephone | 3019262300 |
| Mailing Telephone | 3019262300 |
| Enumeration Date | 2016-12-30 |
| Last Update Date | 2016-12-30 |
| Authorized Official Name | PATRICK J GRAVELINE (DEPUTY DIRECTOR) |
| Authorized Official Telephone | 3019262300 |
| Authorized Official Credential | PSY.D., MHA, BCB |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 0179 | MD | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 1609915495 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093246340 | Community Support Services, Inc. | Community/Behavioral Health | 5540 W Glendale Ave Ste 102, Glendale, AZ 85301-2550 | 2017-03-27 |
| 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 |
| 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 |
9075 COMPRINT CT |
| City | GAITHERSBURG |
| State | MD |
| Zip Code | 20877-1306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1033646468 | Community Support Services, Inc. | Local Education Agency (LEA) | 9075 Comprint Ct, Gaithersburg, MD 20877-1306 | 2017-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083182083 | Elizabeth Schuman | Physical Therapist | 8100 Midcounty Highway, Gaithersburg, MD 20877 | 2018-11-07 |
| 1528544970 | Stephanie Lucas | Behavior Technician | 17755 Larchmont Ter, Gaithersburg, MD 20877 | 2018-07-18 |
| 1508351370 | National Vision, Inc. | Technician/Technologist | 18304 Contour Road, Montgomery Village, MD 20877 | 2018-06-25 |
| 1912496993 | Elias Kamal Abdi | Dentist | 200 Girard Street, #106, Gaithersburg, MD 20877 | 2018-05-06 |
| 1942741947 | Emily Katherine Griffin | Counselor | 501 N Frederick Ave Ste 300, Gaithersburg, MD 20877 | 2017-03-10 |
| 1285004317 | Institute for Family Centered Services | Community/Behavioral Health | 1600 S Frederick Ave, Suite 312, Gaithersburg, MD 20877 | 2015-10-01 |
| 1083097893 | Sylwia Patrycja Fowler | Psychiatry & Neurology | 604 S Frederick Ave Ste 211, Gaithersburg, MD 20877 | 2015-06-30 |
| 1962896126 | Estefania Ospina | Social Worker | 16220 Frederick Rd., Suite 310, Gaithersburg, MD 20877 | 2015-03-26 |
| 1619306206 | Patricia Elizabeth Deleon | Registered Nurse | 702 Russell Ave., #100, Gaithersburg, MD 20877 | 2013-11-05 |
| 1669805719 | International Pediatrics Pa | Pediatrics | 501 North Fredrick Ave Ste 212, Gaithersburg, MD 20877 | 2013-08-13 |
| Find all providers in zip 20877 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427659978 | Your Choices Support Services Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8480 Baltimore National Pike # 141, Ellicott City, MD 21043-3369 | 2020-11-02 |
| 1225638786 | Alternative Dda Home Care Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1777 Reisterstown Rd Ste 180, Baltimore, MD 21208-1313 | 2020-10-26 |
| 1487251195 | Shore Community Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8221 Teal Dr Ste 422, Easton, MD 21601-7212 | 2020-10-06 |
| 1750909875 | Richcroft Incorporated | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11350 Mccormick Rd Ste 700, Hunt Valley, MD 21031-1002 | 2020-07-07 |
| 1710501648 | Together We Stand Support Services Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3702 Evergreen Ave, Baltimore, MD 21206-3420 | 2020-06-06 |
| 1447870985 | Palmer's Care Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3410 Gateshead Manor Way Apt 201, Silver Spring, MD 20904-6114 | 2020-04-24 |
| 1477185338 | A.w. Holdings of Maryland, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 808 Klees Mill Rd, Westminster, MD 21157-8230 | 2020-02-10 |
| 1851930382 | Daylight Healthcare Services, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3812 Pikeswood Dr, Randallstown, MD 21133-2710 | 2020-01-01 |
| 1205479763 | Oasis Plus Social Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4446 Regalwood Ter, Burtonsville, MD 20866-2227 | 2019-10-28 |
| 1003459777 | Walter Obi | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4201 Brookside Oaks, Owings Mills, MD 21117-5168 | 2019-10-24 |
| Find all providers with the same taxonomy | ||||
| City | GAITHERSBURG |
| Zip Code | 20877 |
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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.